GAHNTANUCH JIANG FNP-C
NPI 1992490908
Nurse Practitioner - Family in Saint Louis, MO

Q: What is Gahntanuch Jiang's NPI number?

The NPI number for Gahntanuch Jiang is 1992490908. It was assigned to this individual provider in the NPPES registry on April 6, 2023. The provider is also known as Mild Jiang.

Q: What is Gahntanuch Jiang's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gahntanuch Jiang was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 06, 2023PECOS Enrolled

5000 MANCHESTER AVE, SAINT LOUIS, MO 63110(314) 747-5800 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, Jun 6, 2023, Apr 6, 2023 (3 updates tracked since 2023).

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About Gahntanuch Jiang Fnp-c NPPES

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

GAHNTANUCH JIANG FNP-C (NPI 1992490908) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2023004935) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Florissant.

NPPES Registry Identity

NPI1992490908

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGAHNTANUCH JIANGCredential: FNP-C

Location Address5000 MANCHESTER AVESaint Louis, MO 63110-2012

Mailing Address5000 Manchester AveSaint Louis, MO 63110-2012 · (314) 747-5866 · Fax (314) 747-5866

Phone(314) 747-5800

Sole ProprietorNo

Enumeration DateApril 6, 2023

Last NPPES UpdateSeptember 15, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1992490908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2023004935

Also ListedRegistered NurseTaxonomy 163W00000X · License 2017021507 (MO)

5000 MANCHESTER AVE, Saint Louis, MO 63110

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Other Names 1

Other Name (5)Mild Jiang

Secondary Practice Location 1

Location 11225 Graham Rd Ste C-1320Florissant, MO 63031-8020 · Phone (314) 953-6150 · Fax (314) 747-7834

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gahntanuch Jiang Fnp-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.

Areas of Expertise CMS Part B claims 3

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.

38 services37 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services20 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 17

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

MRS. DARLA J FOTT PTA

Physical Therapy Assistant

5000 MANCHESTER AVE
ST LOUIS, MO 63110

St. Louis City (314) 747-5800

CHARLES MASSIE LPC, LCPC

Counselor (Professional)