JOHANNA WANG (MD) – Internal Medicine Physician, NPI 1043288764

JOHANNA WANG (MD) is a healthcare provider. based in Marysville, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD00037786 (WA). The NPI Number for JOHANNA WANG (MD) is 1043288764

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JOHANNA WANG (MD)
NPI
1043288764
Phone
(360) 651-7491
Address
4420 76th St NE
Enumeration Date
9 March 2006
Last Update Date
29 April 2026

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY MEDICAL COLLEGE - NLG
Secondary Phone
3606517490
Graduation Year
1997 (29 years ago)
PAC ID
0941384036
Group Practice PAC ID
6406752153
Professional Enrollment ID
I20080228000014
Address ID
WA982703726MA4420XNEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

4,056 INTERNAL MEDICINE in WA

Provider Addresses for JOHANNA WANG (MD)

  • 4420 76th St NE

    Marysville, WA 982703726

    Phone: (360) 651-7491

    Type: Location

  • 7600 EVERGREEN WAY

    EVERETT, WA 982036421

    Phone: (206) 860-5414

    Type: Mailing

  • 1201 N 175TH ST

    SHORELINE, WA 981335064

    Phone: (206) 401-3160

    Fax: (206) 401-3201

    Type: Location

  • Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982065127

    Phone: (425) 258-3900

    Type: Mailing

  • 4420, 76th Street Northeast, Marysville, Snohomish County, Washington, 98270, United States

    MARYSVILLE, WA 982703726

    Phone: (360) 651-7491

    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: 2008-02-28

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
I20080228000014IInternal MedicineWATBD

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
36415Insertion of needle into vein for collection of blood sample183136$0
99214Established patient office or other outpatient visit, 30-39 minutes13280$0
80053Blood test, comprehensive group of blood chemicals131114$0
80061Blood test, lipids (cholesterol and triglycerides)119112$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test112104$0
View full utilization report →

Insurance plans in this area (ZIP 98270)

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Provider's Procedures

JOHANNA WANG (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEWA90670Pneumococcal vaccine for injection into muscle1616

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: 6406752153View full group profile
NameSpecialtyState
-OR
-WA
-WA
P A T H O L O G YTN
Nurse PractitionerWA
Diagnostic RadiologyWA
Nurse PractitionerWA
Physical Therapist In Private PracticeWA
O T O L A R Y N G O L O G YWA
Emergency MedicineOR

Reviews

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Frequently asked questions

Can I use this page to confirm JOHANNA WANG (MD)'s NPI?
Yes. JOHANNA WANG (MD) is listed with NPI 1043288764 in the public NPI dataset.
Can I rely on JOHANNA WANG (MD) being an active provider?
As of the registry snapshot, JOHANNA WANG (MD) is marked active.
What is JOHANNA WANG (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for JOHANNA WANG (MD) here. Clinical services aligned with this taxonomy classification.
Does JOHANNA WANG (MD) list a practice location?
Patients near Marysville, Washington may find JOHANNA WANG (MD) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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