ZHAN WANG – Nurse Practitioner, NPI 1205486420

ZHAN WANG is a healthcare provider. based in Sandy, Utah. specializing in NURSE PRACTITIONER. They hold a License No. 6607076-4405 (UT). The NPI Number for ZHAN WANG is 1205486420

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ZHAN WANG
NPI
1205486420
Phone
(801) 856-2825
Address
9948 S GLACIER RIDGE DR
Enumeration Date
19 September 2019
Last Update Date
6 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012882634
Graduation Year
2019 (7 years ago)
PAC ID
8426482910
Group Practice PAC ID
2769468065
Professional Enrollment ID
I20191216000924
Address ID
UT841155096SX3702XSTXX401

Contacts

Secure Messaging
zwang31446@direct.acumenmd.com
Secure Messaging
zhan.wang.1@14360.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for ZHAN WANG

  • 9948, Glacier Ridge Drive, Hillshire, Sandy, Salt Lake County, Utah, 84092, United States

    SANDY, UT 840924288

    Phone: (801) 856-2825

    Type: Location

  • 3702 S STATE ST STE 107

    SOUTH SALT LAKE, UT 841155096

    Phone: (801) 288-2634

    Fax: (801) 288-1186

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Amgen Inc. ($50).

Total Amount

$194

General + Research + Ownership

Payments

10

Total payment records

General Amount

$194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

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: 2019-12-16

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
I20191216000924INurse PractitionerUTTBD

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
90960Dialysis services, 4 or more physician visits per month (20 years or older)4236$0
99214Established patient office or other outpatient visit, 30-39 minutes2625$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)2421$0
99215Established patient office or other outpatient visit, 40-54 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 84092)

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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: 2769468065View full group profile
NameSpecialtyState
Nephrology, Internal MedicineUT
Nurse PractitionerUT
N E P H R O L O G YUT
Nurse PractitionerUT
-UT
Nephrology, Internal MedicineUT
Nephrology, Internal MedicineUT
Nurse PractitionerUT
Nurse PractitionerUT
Nephrology, Internal MedicineUT

Reviews

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Frequently asked questions

What number should I use to identify ZHAN WANG for billing?
Administrative and clinical systems typically use NPI 1205486420 for ZHAN WANG.
Does the public listing show ZHAN WANG as active?
ZHAN WANG's NPI record reflects an active status in NPPES.
How should patients interpret ZHAN WANG's specialty?
The extract shows Nurse Practitioner for ZHAN WANG. Clinical services aligned with this taxonomy classification.
Which community is linked to ZHAN WANG?
ZHAN WANG shows a connection to Sandy, Utah in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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