MISS SANDY WENJUAN WU (FNP) – Family Nurse Practitioner, NPI 1992963011

MISS SANDY WENJUAN WU (FNP) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 201405287NP-PP (OR). The NPI Number for MISS SANDY WENJUAN WU (FNP) is 1992963011

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MISS SANDY WENJUAN WU (FNP)
NPI
1992963011
Phone
(503) 988-7468
Address
421 SW OAK ST
Enumeration Date
27 May 2008
Last Update Date
25 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
6505732222
Graduation Year
2007 (19 years ago)
PAC ID
6002958386
Group Practice PAC ID
9032023171
Professional Enrollment ID
I20160414002188
Address ID
CA940633404RE2710XRDXX300

Contacts

Secure Messaging
swu821796@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

3,379 NURSE PRACTITIONER in OR

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Provider Addresses for MISS SANDY WENJUAN WU (FNP)

  • Lincoln Building, 421, Southwest Oak Street, Portland Downtown, Portland, Metro, Multnomah County, Oregon, 97204, United States

    STE.210

    PORTLAND, OR 972041817

    Phone: (503) 988-7468

    Type: Mailing

  • 3653, Southeast 34th Avenue, Creston-Kenilworth, Portland, Metro, Multnomah County, Oregon, 97202, United States

    PORTLAND, OR 972023034

    Phone: (503) 988-4410

    Type: Location

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: 2016-04-14

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
I20160414002188INurse PractitionerORTBD

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 97204)

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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: 9032023171View full group profile

Reviews

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Frequently asked questions

How is MISS SANDY WENJUAN WU (FNP) identified in CMS data?
CMS-hosted NPPES data lists MISS SANDY WENJUAN WU (FNP) with NPI 1992963011.
Is MISS SANDY WENJUAN WU (FNP) listed as active for patients and plans?
The listing shows MISS SANDY WENJUAN WU (FNP) as active in the NPI system.
What is MISS SANDY WENJUAN WU (FNP) best known for clinically?
Directory data describes MISS SANDY WENJUAN WU (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MISS SANDY WENJUAN WU (FNP)?
MISS SANDY WENJUAN WU (FNP)'s geographic hint is Portland, Oregon in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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