IRENE GAN (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1679900484

IRENE GAN (APRN) is a healthcare provider. based in Miami, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 209010737 (IL). The NPI Number for IRENE GAN (APRN) is 1679900484

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
IRENE GAN (APRN)
NPI
1679900484
Phone
(212) 203-1773
Address
2125 Biscayne Blvd
Enumeration Date
11 October 2013
Last Update Date
7 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2122031773
Graduation Year
1997 (29 years ago)
PAC ID
9335375484
Group Practice PAC ID
4880009943
Professional Enrollment ID
I20231215002075
Address ID
NY100160701NE274XXAVEX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:12State licenses:3Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for IRENE GAN (APRN)

  • 2125 Biscayne Blvd

    Miami, FL 331375031

    Phone: (212) 203-1773

    Fax: (646) 665-4427

    Type: Location

  • 5979 Vineland Rd Ste 109

    Orlando, FL 328197857

    Phone: (407) 270-7702

    Fax: (407) 270-7705

    Type: Location

  • 533 LEXINGTON DR

    GENEVA, IL 601343421

    Phone: (630) 877-1039

    Type: Mailing

  • 5979 VINELAND RD STE 109

    ORLANDO, FL 328197857

    Phone: (407) 270-7702

    Fax: (407) 270-7705

    Type: Mailing

  • 274 MADISON AVE RM 1501

    NEW YORK, NY 100160701

    Phone: (212) 203-1773

    Fax: (646) 665-4427

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $154.

Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: ABBVIE INC. ($75).

Total Amount

$154

General + Research + Ownership

Payments

7

Total payment records

General Amount

$154

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

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: 2023-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210524001784INurse PractitionerFLTBD
I20231215002075INurse PractitionerNYTBD

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 33137)

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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: 4880009943View full group profile
NameSpecialtyState
Clinical Social WorkerNY
Clinical Social WorkerNY
Clinical Social WorkerNY
Mental Health CounselorIL
Nurse PractitionerNY
Nurse PractitionerNY
Nurse PractitionerNJ
Nurse PractitionerNY
Nurse PractitionerNY
Nurse PractitionerPA

Reviews

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Frequently asked questions

What identifier follows IRENE GAN (APRN) across health systems?
The NPI 1679900484 uniquely identifies IRENE GAN (APRN) in U.S. healthcare data.
Quick check: is IRENE GAN (APRN) active?
Public NPPES data shows IRENE GAN (APRN) with an active NPI status right now.
What services align with IRENE GAN (APRN)'s listing?
IRENE GAN (APRN)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to IRENE GAN (APRN)?
IRENE GAN (APRN) shows a connection to Miami, Florida in registry-derived data.
Who maintains IRENE GAN (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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