LIJUAN YUAN (CRNP) – Primary Care Nurse Practitioner, NPI 1023740156

LIJUAN YUAN (CRNP) is a healthcare provider. based in Wayne, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP025810 (PA). The NPI Number for LIJUAN YUAN (CRNP) is 1023740156

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
LIJUAN YUAN (CRNP)
NPI
1023740156
Phone
(215) 485-2723
Address
105 OAKFORD CIR
Enumeration Date
28 June 2022
Last Update Date
28 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6108532502
Graduation Year
2022 (4 years ago)
PAC ID
9830543784
Group Practice PAC ID
1658382908
Professional Enrollment ID
I20230926001912
Address ID
PA190832741HA2010XPIKE401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for LIJUAN YUAN (CRNP)

  • 105 OAKFORD CIR

    WAYNE, PA 190873822

    Phone: (215) 485-2723

    Type: Mailing

  • 2010 W CHESTER PIKE STE 448

    HAVERTOWN, PA 190832741

    Phone: (610) 853-2502

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $825.

Total Amount is formed as General ($825) + Research ($0) + Ownership ($0) = $825.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Merz North America, Inc. ($233).

Total Amount

$825

General + Research + Ownership

Payments

18

Total payment records

General Amount

$825

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

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: 2023-09-26

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
I20230926001912INurse PractitionerPATBD

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 19087)

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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: 1658382908View full group profile
NameSpecialtyState
General PracticePA
Internal Medicine, NephrologyNY
Internal MedicinePA
Nurse PractitionerPA

Reviews

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Frequently asked questions

How do payers reference LIJUAN YUAN (CRNP)?
For LIJUAN YUAN (CRNP), use NPI 1023740156 as the unique 10-digit identifier.
Is there an active status for LIJUAN YUAN (CRNP)?
For scheduling context, LIJUAN YUAN (CRNP) is shown as active in the registry.
What clinical focus is listed for LIJUAN YUAN (CRNP)?
At a glance, LIJUAN YUAN (CRNP) is tied to Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LIJUAN YUAN (CRNP) located near Wayne?
LIJUAN YUAN (CRNP) currently maps to Wayne, Pennsylvania in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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