MS. NANCY ELAINE FONG (FNP) – Family Nurse Practitioner, NPI 1700945649

MS. NANCY ELAINE FONG (FNP) is a healthcare provider. based in Ferndale, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 8525 (CA). The NPI Number for MS. NANCY ELAINE FONG (FNP) is 1700945649

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MS. NANCY ELAINE FONG (FNP)
NPI
1700945649
Phone
(360) 676-6177
Address
6060 Portal Way
Enumeration Date
6 December 2006
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604663136
Graduation Year
1996 (30 years ago)
PAC ID
5092742767
Group Practice PAC ID
6406752153
Professional Enrollment ID
I20221107001118
Address ID
WA982574716LA528XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for MS. NANCY ELAINE FONG (FNP)

  • 6060 Portal Way

    Ferndale, WA 982487833

    Phone: (360) 676-6177

    Fax: (360) 671-3574

    Type: Location

  • 1616 Cornwall Ave Ste 205

    Bellingham, WA 982254642

    Phone: (360) 676-6177

    Fax: (360) 671-3574

    Type: Location

  • 686 W Line St

    Bishop, CA 935143315

    Phone: (760) 873-4373

    Fax: (760) 873-3951

    Type: Location

  • 153 Pioneer Ln

    Bishop, CA 935142517

    Phone: (760) 873-2849

    Type: Location

  • 528 MYRTLE STREET

    LA CONNER, WA 98257

    Phone: (360) 466-3136

    Fax: (360) 466-0107

    Type: Location

  • PO BOX 5127

    EVERETT, WA 982065127

    Phone: (425) 258-3900

    Type: Mailing

  • 153, Pioneer Lane, Bishop, Inyo County, California, 93514, United States

    BISHOP, CA 935142517

    Phone: (760) 873-2849

    Type: Mailing

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: 2022-11-07

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
I20221107001118INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98248)

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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: 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 MS. NANCY ELAINE FONG (FNP)'s NPI?
Yes. MS. NANCY ELAINE FONG (FNP) is listed with NPI 1700945649 in the public NPI dataset.
Does CMS list MS. NANCY ELAINE FONG (FNP) as active?
Yes — MS. NANCY ELAINE FONG (FNP) is active in the NPI listing used on this page.
What taxonomy line describes MS. NANCY ELAINE FONG (FNP)?
For research purposes, treat MS. NANCY ELAINE FONG (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MS. NANCY ELAINE FONG (FNP) on a map?
Expect Ferndale, Washington as a primary anchor for MS. NANCY ELAINE FONG (FNP) unless the record lists multiple sites.
Is the information about MS. NANCY ELAINE FONG (FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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