JANELLE KARISSA WONG (MD) – Family Medicine Physician, NPI 1760001945

JANELLE KARISSA WONG (MD) is a healthcare provider. based in Winter park, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD217882 (OR). The NPI Number for JANELLE KARISSA WONG (MD) is 1760001945

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JANELLE KARISSA WONG (MD)
NPI
1760001945
Phone
(407) 646-7000
Address
200 N LAKEMONT AVE
Enumeration Date
8 April 2020
Last Update Date
22 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
8325479132
Group Practice PAC ID
1850338054
Professional Enrollment ID
I20250926002765
Address ID
CA954536300LA5176XEXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

6,723 FAMILY PRACTICE in FL

Provider Addresses for JANELLE KARISSA WONG (MD)

  • 200 N LAKEMONT AVE

    WINTER PARK, FL 327923273

    Phone: (407) 646-7000

    Type: Location

  • 205 PLUM LAKE CT

    SELLERSBURG, IN 471729077

    Phone: (502) 718-3232

    Type: Mailing

  • 300 HARTLE CT

    NAPA, CA 945594078

    Phone: (707) 254-1775

    Type: Location

  • 133 BENMORE DR

    WINTER PARK, FL 327924111

    Phone: (407) 646-7469

    Type: Mailing

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: 2025-09-26

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
I20231030001253IFamily PracticeORTBD
I20250926002765IFamily PracticeCATBD

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 32792)

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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: 1850338054View full group profile
NameSpecialtyState
Nurse PractitionerMS
Physician AssistantGA
Family PracticeCA
Family PracticeCA
Physician AssistantCO
Nurse PractitionerCA
Family PracticeCA
Nurse PractitionerAZ
Nurse PractitionerCA
Family PracticePA

Reviews

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Frequently asked questions

Can I verify JANELLE KARISSA WONG (MD) with an NPI only?
You can start verification with NPI 1760001945 for JANELLE KARISSA WONG (MD), then check state licensing separately.
Is JANELLE KARISSA WONG (MD) still practicing?
JANELLE KARISSA WONG (MD) is currently listed as active in the public NPI registry.
What healthcare role does JANELLE KARISSA WONG (MD) hold?
Scheduling teams often label JANELLE KARISSA WONG (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JANELLE KARISSA WONG (MD) based?
JANELLE KARISSA WONG (MD) is tied to Winter Park, Florida in the data we show; additional addresses may exist on the full record.
Why does JANELLE KARISSA WONG (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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