SAN WONG APRN NPI 1972003499

NPI Information

  • NPI: 1972003499
  • Provider Name: SAN WONG, APRN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8380 RIVERWALK PARK BLVD STE 100
    FORT MYERS, FL
    ZIP 33919
  • Phone: (239) 343-9960

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NPI Details

San Wong, APRN is an adult health nurse practitioner in Fort Myers, FL with 9 years of experience. San Wong, APRN NPI is 1972003499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8380 RIVERWALK PARK BLVD STE 100
FORT MYERS, FL
ZIP 33919-758
Phone: (239) 343-9960

The NPI 1972003499 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Fusion of additional segment of spine (HCPCS:22614)
  • Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
  • Fusion of spine bones through front of body with partial removal of disc, each additional disc (HCPCS:22585)
  • Fusion of spine in lower back (HCPCS:22612)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 2/21/2018 and was last updated on 7/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364S00000XClinical Nurse SpecialistAPRN9232935FLORIDANo
2363LA2200XNurse PractitionerAdult HealthAPRN9232935FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1024233400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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