CONNIE WANG PMHNP
NPI 1962155531
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX
About Connie Wang Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNIE WANG PMHNP (NPI 1962155531) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (1155410) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Worth.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Connie Wang Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Connie Wang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Cook Childrens Physician Network
- 1,186 clinicians in this Medicare group
Dallas, TX 75235
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DALLAS, TX 75390
DALLAS, TX 75390
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 Connie Wang's NPI number?
The NPI number for Connie Wang is 1962155531. It was assigned to this individual provider in the NPPES registry on February 2, 2022.
Where is Connie Wang located?
Connie Wang practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 648-3111.
What is Connie Wang's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Connie Wang enrolled in Medicare?
Yes. Connie Wang is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Connie Wang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connie Wang reassigns Medicare benefits to 2 organizations: Cook Children's Physician Network (Fort Worth, TX) and University Of Texas Southwestern Medical Center At Dallas (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Connie Wang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Connie Wang accept?
Health plans from Antidote Health of TX and Imperial Insurance Companies, Inc. list Connie Wang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Connie Wang was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Connie Wang, PMHNP · NPI 1962155531
Psychiatric/Mental Health physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since February 2, 2022.
## Identity
- **NPI:** 1962155531 (Entity type: Individual)
- **Enumerated:** February 2, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1155410 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5323 HARRY HINES BLVD, Dallas, TX 75390-8590
- **Phone:** (214) 648-3111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cook Children's Physician Network (NPI 1083472062, Fort Worth, TX); University Of Texas Southwestern Medical Center At Dallas (NPI 1043418205, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962155531) · Data from the CMS NPPES public registry.