CHAN LY – Nurse Practitioner, NPI 1932736121

CHAN LY is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN60240413 (WA). The NPI Number for CHAN LY is 1932736121

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
CHAN LY
NPI
1932736121
Phone
(855) 963-2100
Address
PO BOX 749495
Enumeration Date
26 March 2020
Last Update Date
11 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604138880
Graduation Year
2021 (5 years ago)
PAC ID
0345628871
Group Practice PAC ID
0042569758
Professional Enrollment ID
I20220611000238
Address ID
WA985065028OL141XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

6,307 NURSE PRACTITIONER in WA

Provider Addresses for CHAN LY

  • PO BOX 749495

    ATLANTA, GA 303749495

    Phone: (855) 963-2100

    Fax: (813) 321-1296

    Type: Mailing

  • 141 LILLY RD NE

    OLYMPIA, WA 985065028

    Phone: (360) 413-8880

    Fax: (360) 810-3697

    Type: Location

  • 315 MLK Jr Way

    Tacoma, WA 98405

    Phone: (253) 403-1000

    Type: Location

  • 8129 165TH STREET CT E

    PUYALLUP, WA 983752115

    Phone:

    Type: Mailing

  • 315 MLK JR WAY

    TACOMA, WA 98405

    Phone: (253) 403-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $2,789.

Total Amount is formed as General ($2,789) + Research ($0) + Ownership ($0) = $2,789.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($474).

Total Amount

$2,789

General + Research + Ownership

Payments

49

Total payment records

General Amount

$2,789

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2022-06-11

PECOS data refreshed: 2026-06-15

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
I20220611000238INurse PractitionerWATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3424$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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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: 0042569758View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YDE
Nurse PractitionerNC
Nurse PractitionerFL
P A T H O L O G YFL
Hematology/Oncology, Internal MedicineTX
-MO
Nurse PractitionerMD
-GA
-FL
Physician AssistantFL

Reviews

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Frequently asked questions

What is the registry number for CHAN LY?
The registry entry for CHAN LY shows NPI 1932736121.
Is CHAN LY's NPI status active today?
Active status means CHAN LY's NPI record is not deactivated in the public file.
What type of care does CHAN LY provide?
CHAN LY's profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit CHAN LY in Atlanta, Georgia?
For routing, start with Atlanta, Georgia for CHAN LY, then verify phone and hours locally.
Who maintains CHAN LY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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