MR. JERRY SHIH-FAN YANG PA-C
NPI 1841700523
Physician Assistant - Medical in Fellsmere, FL

Q: What is Jerry Yang's NPI number?

The NPI number for Jerry Yang is 1841700523. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Q: What is Jerry Yang's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Yang was last updated on May 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 06, 2017PECOS Enrolled

12196 COUNTY ROAD 512, FELLSMERE, FL 32948(772) 257-8224(772) 213-3157 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2022, Feb 18, 2022, Nov 16, 2021 and 2 more (5 updates tracked since 2019).

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About Mr. Jerry Shih-fan Yang Pa-c NPPES

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

MR. JERRY SHIH-FAN YANG PA-C (NPI 1841700523) is an individual medical provider in Fellsmere, Florida, licensed in Florida (PA9111984) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841700523

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. JERRY SHIH-FAN YANGCredential: PA-C

Location Address12196 COUNTY ROAD 512Fellsmere, FL 32948-5463

Mailing Address1545 9th St SwVero Beach, FL 32962-4312 · (772) 257-8224 · Fax (772) 213-3157

Phone(772) 257-8224

Fax(772) 213-3157

Sole ProprietorNo

Enumeration DateOctober 6, 2017

Last NPPES UpdateMay 27, 20225 updates tracked since enumeration

NPPES CertifiedMay 27, 2022

✔ NPI 1841700523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9111984

12196 COUNTY ROAD 512, Fellsmere, FL 32948

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Other Identifiers 1

OtherPA9111984FL · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jerry Shih-fan Yang Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

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