SANDY MYKIM TANG (APRN) – Nurse Practitioner, NPI 1417642075

SANDY MYKIM TANG (APRN) is a healthcare provider. based in South miami, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11025260 (FL). The NPI Number for SANDY MYKIM TANG (APRN) is 1417642075

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
SANDY MYKIM TANG (APRN)
NPI
1417642075
Phone
(786) 662-4000
Address
6200 SW 73rd St
Enumeration Date
10 April 2023
Last Update Date
22 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7032878277
Graduation Year
2022 (4 years ago)
PAC ID
8325525603
Group Practice PAC ID
5890984314
Professional Enrollment ID
I20260116001370
Address ID
VA221022834MC7601XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for SANDY MYKIM TANG (APRN)

  • 6200 SW 73rd St

    South Miami, FL 331434679

    Phone: (786) 662-4000

    Type: Location

  • 12355 SW 125TH CT

    MIAMI, FL 331865488

    Phone:

    Type: Mailing

  • 3252 BUENA VISTA BLVD

    SUITE 112

    MIAMI, FL 33137

    Phone: (786) 396-9680

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-05-20 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
MERZ NORTH AMERICA, INC.$18
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: 2026-01-16

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
I20260116001370INurse PractitionerDCTBD

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 33143)

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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: 5890984314View full group profile
NameSpecialtyState
Physician AssistantDC
Plastic And Reconstructive SurgeryVA
Plastic And Reconstructive SurgeryVA
Plastic And Reconstructive SurgeryDC
Physician AssistantVA
Plastic And Reconstructive SurgeryPA
Physician AssistantMD
Physician AssistantDC
Physician AssistantVA
General SurgeryDC

Reviews

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Frequently asked questions

How is SANDY MYKIM TANG (APRN) identified in CMS data?
CMS-hosted NPPES data lists SANDY MYKIM TANG (APRN) with NPI 1417642075.
Is SANDY MYKIM TANG (APRN) listed as active for patients and plans?
The listing shows SANDY MYKIM TANG (APRN) as active in the NPI system.
What is SANDY MYKIM TANG (APRN)'s specialty?
The listing groups SANDY MYKIM TANG (APRN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does SANDY MYKIM TANG (APRN) serve?
SANDY MYKIM TANG (APRN)'s listing highlights South Miami, Florida; more addresses can appear in NPPES.
Why does SANDY MYKIM TANG (APRN) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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