JILL WANG (ARNP) – Mental Health Counselor, NPI 1619228871

JILL WANG (ARNP) is a healthcare provider. based in Melbourne, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 9269172 (FL). The NPI Number for JILL WANG (ARNP) is 1619228871

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JILL WANG (ARNP)
NPI
1619228871
Phone
(321) 722-5200
Address
400 EAST SHERIDAN RD
Enumeration Date
27 September 2012
Last Update Date
28 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217225200
Graduation Year
2012 (14 years ago)
PAC ID
3476785643
Group Practice PAC ID
8729069380
Professional Enrollment ID
I20140423000104
Address ID
FL329013122ME400XXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:13State licenses:3Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for JILL WANG (ARNP)

  • 400 EAST SHERIDAN RD

    MELBOURNE, FL 329013122

    Phone: (321) 722-5200

    Fax: (321) 953-7510

    Type: Mailing

  • 1770 CEDAR ST

    ROCKLEDGE, FL 329553133

    Phone: (321) 890-1500

    Fax: (321) 634-6260

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $1,158.

Total Amount is formed as General ($1,158) + Research ($0) + Ownership ($0) = $1,158.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Alkermes, Inc. ($210).

Total Amount

$1,158

General + Research + Ownership

Payments

21

Total payment records

General Amount

$1,158

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

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: 2014-04-23

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
I20140423000104INurse PractitionerFLTBD

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
90833Psychotherapy with evaluation and management visit, 30 minutes8338$0
99214Established patient office or other outpatient visit, 30-39 minutes7129$0
90792Psychiatric diagnostic evaluation with medical services1716$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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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: 8729069380View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Clinical Social WorkerFL
Mental Health CounselorFL
-FL
Clinical Social WorkerFL
-FL
-FL
Nurse PractitionerFL
Clinical PsychologistFL

Reviews

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Frequently asked questions

How is JILL WANG (ARNP) identified in CMS data?
CMS-hosted NPPES data lists JILL WANG (ARNP) with NPI 1619228871.
Can I rely on JILL WANG (ARNP) being an active provider?
As of the registry snapshot, JILL WANG (ARNP) is marked active.
What taxonomy line describes JILL WANG (ARNP)?
For research purposes, treat JILL WANG (ARNP) as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JILL WANG (ARNP) on a map?
Expect Melbourne, Florida as a primary anchor for JILL WANG (ARNP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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