KETTY C WANG NP - NPI 1740053529 - Nurse Practitioner in Santa Cruz, CA

Q: What is Ketty Wang's NPI number?

The NPI number for Ketty Wang is 1740053529. It was assigned to this individual provider in the NPPES registry on November 2, 2023.

Q: What is Ketty Wang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ketty Wang was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ketty C Wang Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETTY C WANG NP (NPI 1740053529) is an individual nurse practitioner in Santa Cruz, California, licensed in California (95027289) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stanford, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740053529

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKETTY C WANGCredential: NP

Location Address1667 DOMINICAN WAY STE 230Santa Cruz, CA 95065-1560

Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-4000

Phone(831) 458-6288

Fax(831) 477-9026

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 2, 2023

Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1740053529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95027289

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 95027289 (CA)

1667 DOMINICAN WAY STE 230, Santa Cruz, CA 95065

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Secondary Practice Location 1

Location 1300 Pasteur DrStanford, CA 94305-2200 · Phone (650) 723-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ketty C Wang Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294184479

PECOS Enrollment IDI20231213001893

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$109.72 typical visit price

range $21.02 – $153.16

Typical copayment $27.43 (range $5.25 – $38.29)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAY A JOHNSON MD INC

Internal Medicine (Cardiovascular Disease)

1667 DOMINICAN WAY STE 230
SANTA CRUZ, CA 95065

Santa Cruz County (831) 464-3801

APRIL KANSCHAT PA-C

Physician Assistant (Surgical)

1667 DOMINICAN WAY STE 230
SANTA CRUZ, CA 95065

Santa Cruz County (831) 458-6288

SCOTT E MACNAUGHTON PA

Physician Assistant

1667 DOMINICAN WAY STE 230
SANTA CRUZ, CA 95065

Santa Cruz County (831) 458-6288

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketty Wang's NPI number?

The NPI number for Ketty Wang is 1740053529. It was assigned to this individual provider in the NPPES registry on November 2, 2023.

Where is Ketty Wang located?

Ketty Wang practices at 1667 Dominican Way Ste 230, Santa Cruz, CA 95065. The listed phone number is (831) 458-6288.

What is Ketty Wang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ketty Wang enrolled in Medicare?

Yes. Ketty Wang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ketty Wang was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.