Upstate Wellness and Aesthetic Services
NPI 1083563936ActiveOrganization· Nurse Practitioner, Primary Care· Albany, NY
Nurse Practitioner, Primary Care in Albany, New York, registered in NPPES in January 2026. The authorized official on file is Wayne Elroy Chan, NP, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083563936 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2026 |
| Last updated in NPPES | Jan 24, 2026 |
| Certified by provider | Jan 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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