JIAN WU (PA) – Physician Assistant, NPI 1003966367

JIAN WU (PA) is a healthcare provider. based in Maitland, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. C0003206 (MD). The NPI Number for JIAN WU (PA) is 1003966367

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JIAN WU (PA)
NPI
1003966367
Phone
(407) 875-2080
Address
151 SOUTHHALL LN
Enumeration Date
11 January 2007
Last Update Date
25 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8645740017
Graduation Year
2005 (21 years ago)
PAC ID
8527084987
Group Practice PAC ID
4284864372
Professional Enrollment ID
I20110729000071
Address ID
SC293071086SP1650XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,458 PHYSICIAN ASSISTANT in SC

Loading map...

Provider Addresses for JIAN WU (PA)

  • 151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States

    STE 300

    MAITLAND, FL 327517176

    Phone: (407) 875-2080

    Fax: (407) 650-3455

    Type: Mailing

  • 1250, John B White Sr Boulevard, Spartanburg, Spartanburg County, South Carolina, 29306, United States

    SPARTANBURG, SC 293063929

    Phone: (864) 574-0017

    Fax: (864) 574-6088

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 225 Open Payments records for all available years, with a total value of $4,058.

Total Amount is formed as General ($4,058) + Research ($0) + Ownership ($0) = $4,058.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($914).

Total Amount

$4,058

General + Research + Ownership

Payments

225

Total payment records

General Amount

$4,058

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-07-29

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
I20110729000071IPhysician AssistantSCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,945319$0
99213Established patient office or other outpatient visit, 20-29 minutes607457$0
17000Destruction of precancer skin growth, 1 growth527401$0
17110Destruction of skin growth, 1-14 growths251220$0
99214Established patient office or other outpatient visit, 30-39 minutes238187$0
View full utilization report →

Insurance plans in this area (ZIP 32751)

Loading plans...

Provider's Procedures

JIAN WU (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTSC17003Destruction of 2-14 skin growths1027191

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: 4284864372View full group profile
NameSpecialtyState
D E R M A T O L O G YSC
Nurse PractitionerSC
D E R M A T O L O G YCA
Physician AssistantFL
Physician AssistantGA
D E R M A T O L O G YSC
D E R M A T O L O G YSC
D E R M A T O L O G YSC
Physician AssistantSC
D E R M A T O L O G YSC

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm JIAN WU (PA)'s NPI?
Yes. JIAN WU (PA) is listed with NPI 1003966367 in the public NPI dataset.
Does CMS list JIAN WU (PA) as active?
Yes — JIAN WU (PA) is active in the NPI listing used on this page.
What is JIAN WU (PA) best known for clinically?
Directory data describes JIAN WU (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect JIAN WU (PA) on a map?
Expect Maitland, Florida as a primary anchor for JIAN WU (PA) unless the record lists multiple sites.
Why does JIAN WU (PA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

AdventHealth Medical Group

Family Medicine Physician
Westhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1225034234

ROBERT S. BUCKLEY (PA-C)

Physician Assistant
1020 LAKE SUMTER LNDG
NPI: 1699774323

CHRISTINA L CHAMBLEY (PA-C)

Physician Assistant
151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1568463073
940 SUMNEYTOWN PIKE
NPI: 1316933880

MR. KEVIN K BUSH (PA-C)

Physician Assistant
151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1114913332
151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1831185057

TODD F KUERBITZ (PA)

Medical Physician Assistant
Florida Hospital Orlando Emergency Room, 601, Rollins Street, Orlando, Orange County, Florida, 32803, United States
NPI: 1992793400

MS. MARTHA L FREY (PAC)

Physician Assistant
151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1194702407

MR. LARRY TODD WILSON (PA-C)

Physician Assistant
2600 WESTHALL LN
NPI: 1245297340