GRACE WAN MD
NPI 1659697621
Pediatrics in Charlotte, NC
NPI Status: Active since April 15, 2010
Contact Information
1350 S KINGS DR
CHARLOTTE, NC
ZIP 28207
Phone: (704) 446-1422
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About GRACE WAN
This page provides the complete NPI Profile along with additional information for Grace Wan, a pediatrician established in Charlotte, North Carolina with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1659697621 assigned on April 2010. The practitioner's primary taxonomy code is 208000000X with license number 2013-02104 (NC). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1659697621
- Provider Name
- GRACE WAN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1350 S KINGS DR CHARLOTTE, NC 28207
- Location Phone
- (704) 446-1422
- Mailing Address
- PO BOX 19305 CHARLOTTE, NC 28219
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-15-2010
- Last Update Date
- 07-15-2024
- Code Navigator
A pediatrician like Grace Wan is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 920 Church St N
Concord, NC 28025
(704) 403-3664 - 105 Yadkin St Ste 303
Albemarle, NC 28001
(980) 323-5400 - 1001 Blythe Blvd Medical Center Plaza, Suite 200
Charlotte, NC 28203
(704) 381-8840
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2013-02104
- License State
- NC
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | 2013-02104 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Catastrophic 1 - EPO
- BlueEssentials Gold 1 - EPO
- BlueEssentials Gold 5 - EPO
- BlueEssentials Silver 14 - EPO
- BlueEssentials Silver 14 + Adult Vision - EPO
- BlueEssentials Silver 39 - EPO
- BlueEssentials Standard Expanded Bronze - EPO
- BlueEssentials Standard Gold - EPO
- BlueEssentials Standard Silver - EPO
- BlueExtend PPO HD Bronze 1 - PPO
- InHealth Basic 1 - HMO
- InHealth Basic 1 + Adult Vision - HMO
- InHealth Basic 2 - HMO
- InHealth Basic Plus Standard - HMO
- InHealth Basic Standard - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
- WellCare Secure Health Bronze - PPO
- WellCare Secure Health Gold - PPO
- WellCare Secure Health Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Grace Wan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 28207 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 6 | 9 | 7 | 6 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 12 | 9 | 14 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 1 + 2 + 9 + 1 + 4 + 6 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1659697621 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1710987193 | MR. JIN WOO JUN RPH Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1400 |
| 1467452730 | PENNY STEWART R.PH. Individual | Pharmacist (Pharmacotherapy) | 1350 S KINGS DR CMC MYERS PARK PHARMACY SUITE 101 CHARLOTTE, NC 28207 (704) 446-1400 |
| 1972602639 | MRS. SARAH E MCDOWELL RPH Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1986 |
| 1285733980 | MS. KELLY LYNN AVEY RPH Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1405 |
| 1932208683 | MR. JAMES THOMAS KILBRIDE RPH Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1413 |
| 1700985306 | MRS. LEIGH ANN HODGES THOMAS PHARMD Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1403 |
| 1427156355 | DR. LYNSEY RENEE HOPKINS PHARMD Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1453 |
| 1790884468 | MS. KATHERINE GRACE MCCORKLE RPH Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1402 |
| 1013016625 | MRS. ALKA H PATEL PHARMD Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1405 |
| 1700986734 | DR. SARAH LANG MARCONI PHARMD Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1403 |
| 1952401986 | MRS. GLORIA A BUTLER RPH Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1403 |
| 1356441471 | DR. NANCY STEPHENS FORTSON PHARMD, RPH Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1403 |
| 1114027232 | CATHERINE WILLIAMS HUEMMER RPH Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1403 |
| 1063503985 | ALISSA MCDOWELL SMITH PHARMD Individual | Pharmacist | 1350 S KINGS DR SUITE 101 CHARLOTTE, NC 28207 (704) 446-1476 |
| 1639248487 | JOAN LOIS SETTLEMYER PHARMD Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1476 |
| 1699820050 | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY Organization | Clinic/Center | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 355-2000 |
| 1588700736 | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY Organization | Clinic/Center | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 355-2000 |
| 1972623395 | DR. KRISTI DAVIS LAWRENCE PHARMD Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1400 |
| 1932229358 | DR. JI HEE PARK PHARMD Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1400 |
| 1811219819 | WENDY HYDE OQUINN PHARMD Individual | Pharmacist | 1350 S KINGS DR CHARLOTTE, NC 28207 (704) 446-1400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659697621, enumerated in the NPI registry as an "individual" on April 15, 2010
The provider is located at 1350 S Kings Dr Charlotte, Nc 28207 and the phone number is (704) 446-1422
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, InStil. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.9 with an average copayment of $20.97 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 15, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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