CHAN LY
NPI 1932736121
Nurse Practitioner in Olympia, WA

Q: What is Chan Ly's NPI number?

The NPI number for Chan Ly is 1932736121. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Chan Ly'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 Chan Ly was last updated on September 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

141 LILLY RD NE, OLYMPIA, WA 98506(360) 413-8880(360) 810-3697 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2024, Mar 26, 2020 (2 updates tracked since 2020).

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About Chan Ly NPPES

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

CHAN LY (NPI 1932736121) is an individual nurse practitioner in Olympia, Washington, licensed in Washington (AP61214320) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1932736121

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCHAN LY

Location Address141 LILLY RD NEOlympia, WA 98506-5028

Mailing AddressPo Box 749495Atlanta, GA 30374-9495 · (855) 963-2100 · Fax (813) 321-1296

Phone(360) 413-8880

Fax(360) 810-3697

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 26, 2020

Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2024

✔ NPI 1932736121 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 WA · AP61214320

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 ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License RN60240413 (WA)

141 LILLY RD NE, Olympia, WA 98506

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Secondary Practice Location 1

Location 1315 MLK Jr WayTacoma, WA 98405 · Phone (253) 403-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Chan Ly 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 ID345628871

PECOS Enrollment IDI20220611000238

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

30 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500024

Location413 Lilly Road NEOlympia, WA 98506 · Thurston County

Emergency services Birthing friendly

Capital Medical Center

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500139

Location3900 Capital Mall Dr SWOlympia, WA 98502 · Thurston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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Other Providers at the Same Location NPPES 9

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

VISTA ONCOLOGY INC PS

Specialist