YAN CAO – Psychiatric/Mental Health Nurse Practitioner, NPI 1033443700
Psychiatric/Mental Health Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for YAN CAO
2621 UNIVERSITY AVE APT 4
GREEN BAY, WI 543114838
Phone:
Type: Mailing
575 W STATE HIGHWAY 243
CANTON, TX 751032113
Phone: (903) 567-4197
Fax: (903) 535-7384
Type: Location
1174 E Lennon Dr
Emory, TX 754403252
Phone: (903) 473-2671
Fax: (903) 535-7384
Type: Location
2323 W Front St
Tyler, TX 757027747
Phone: (903) 597-1351
Fax: (903) 535-7384
Type: Location
703 W Patten St
Mineola, TX 757731541
Phone: (903) 569-5409
Fax: (903) 535-7384
Type: Location
301, East Saint Joseph Street, St. Joseph, Indianapolis, Marion, Indiana, 46202, United States
GREEN BAY, WI 543012241
Phone: (920) 433-6073
Type: Location
2323 W FRONT ST
TYLER, TX 757027747
Phone: (903) 597-1351
Fax: (903) 535-7384
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: 2014-05-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140513001481 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 205 | 56 | $0 |
Insurance plans in this area (ZIP 54311)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | WI | 90792 | Psychiatric diagnostic evaluation with medical services | 25 | 25 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Neurology | TX | |
| Nurse Practitioner | OR | |
| Clinical Social Worker | TX | |
| Mental Health Counselor | TX | |
| - | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX | |
| P S Y C H I A T R Y | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX |
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