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MARY WANG FNP-BC
NPI 1851100184
Nurse Practitioner - Family in La Mirada, CA

Active since January 02, 2025PECOS Enrolled
12675 LA MIRADA BLVD STE 200, LA MIRADA, CA 90638(818) 361-5437 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2026, Jan 2, 2025 (2 updates tracked since 2025).

About Mary Wang Fnp-bc NPPES

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

MARY WANG FNP-BC (NPI 1851100184) is an individual family provider in La Mirada, California, licensed in California (95031677) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1851100184
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY WANGCredential: FNP-BC
Location Address12675 LA MIRADA BLVD STE 200La Mirada, CA 90638-2235
Mailing Address12675 La Mirada Blvd Ste 200La Mirada, CA 90638-2235 · (818) 361-5437
Phone(818) 361-5437
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 2, 2025
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1851100184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95031677✔ Licensed in WA · AP70086494
12675 LA MIRADA BLVD STE 200, La Mirada, CA 90638
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Wang Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123543063
PECOS Enrollment IDI20260327002250
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 90638 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

CRISTINA RUIZ LOPEZ FNP
Nurse Practitioner (Family)
12675 LA MIRADA BLVD STE 200
LA MIRADA, CA 90638
Los Angeles County (818) 361-5437
JENE CYIN
Nurse Practitioner (Family)
12675 LA MIRADA BLVD STE 200
LA MIRADA, CA 90638
Los Angeles County (818) 361-5437
ANWAR & VASEEMA ARASTU, MD, INC
Internal Medicine
12675 LA MIRADA BLVD STE 200
LA MIRADA, CA 90638
Los Angeles County (562) 941-9853

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 Mary Wang's NPI number?

The NPI number for Mary Wang is 1851100184. It was assigned to this individual provider in the NPPES registry on January 2, 2025.

Where is Mary Wang located?

Mary Wang practices at 12675 La Mirada Blvd Ste 200, La Mirada, CA 90638. The listed phone number is (818) 361-5437.

What is Mary Wang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Wang enrolled in Medicare?

Yes. Mary Wang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Wang was last updated on March 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.