AGNES WONG (MD) – Pediatric Adolescent Medicine Physician, NPI 1982699393

AGNES WONG (MD) is a healthcare provider. based in Edmonds, Washington. specializing in Pediatric Adolescent Medicine Physician. They hold the professional credentials MD. They hold a License No. MD00028506 (WA). The NPI Number for AGNES WONG (MD) is 1982699393

Main info

Female
Name
AGNES WONG (MD)
NPI
1982699393
Phone
(425) 778-0191
Address
21600 HWY 99
Enumeration Date
13 September 2005
Last Update Date
9 October 2020

Contacts

Secure Messaging
awong1043658@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for AGNES WONG (MD)

  • Pacific Highway, Edmonds, Snohomish County, Washington, 98026, United States

    SUITE 290

    EDMONDS, WA 980268012

    Phone: (425) 778-0191

    Fax: (425) 672-2110

    Mailing address matches the actual address.

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: 2013-10-30

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
I20131030000291IPediatric 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.

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

Insurance plans in this area (ZIP 98026)

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Reviews

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Frequently asked questions

How is AGNES WONG (MD) identified in CMS data?
CMS-hosted NPPES data lists AGNES WONG (MD) with NPI 1982699393.
Is AGNES WONG (MD) listed as active for patients and plans?
The listing shows AGNES WONG (MD) as active in the NPI system.
What is AGNES WONG (MD)'s specialty?
The listing groups AGNES WONG (MD) with Pediatric Adolescent Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for AGNES WONG (MD)?
AGNES WONG (MD)'s geographic hint is Edmonds, Washington in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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