JERRY WEILONG HUANG (FNP-C) – Family Nurse Practitioner, NPI 1033917554

JERRY WEILONG HUANG (FNP-C) is a healthcare provider. based in Gilbert, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 229583 (AZ). The NPI Number for JERRY WEILONG HUANG (FNP-C) is 1033917554

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JERRY WEILONG HUANG (FNP-C)
NPI
1033917554
Phone
(520) 342-7538
Address
4702 E BARBARITA AVE
Enumeration Date
3 March 2025
Last Update Date
3 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6234666350
Graduation Year
2023 (3 years ago)
PAC ID
9739602327
Group Practice PAC ID
4880787589
Professional Enrollment ID
I20250324003504
Address ID
AZ852251057CH815XXRDXX410
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for JERRY WEILONG HUANG (FNP-C)

  • 4702 E BARBARITA AVE

    GILBERT, AZ 852344726

    Phone: (520) 342-7538

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250324003504INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85234)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880787589View full group profile
NameSpecialtyState
Physician AssistantAZ
-AZ
Pain Management, AnesthesiologyAZ
-AZ
Nurse PractitionerAZ
-AZ
Pain ManagementAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

What NPI should I save for JERRY WEILONG HUANG (FNP-C)?
Save NPI 1033917554 if you need a stable reference for JERRY WEILONG HUANG (FNP-C).
Is JERRY WEILONG HUANG (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JERRY WEILONG HUANG (FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for JERRY WEILONG HUANG (FNP-C). Clinical services aligned with this taxonomy classification.
What location shows for JERRY WEILONG HUANG (FNP-C)?
We surface Gilbert, Arizona for JERRY WEILONG HUANG (FNP-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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