Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katie Wai-Ling Chan

Individual provider Registered Nurse · NPI 1457039208

Katie Wai-Ling Chan is a Certified Registered Nurse Anesthetist (CRNA) in New Hyde Park, New York. Qualified in 2024, 2 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group and accepts Medicare assignment. Licensed in New York and Virginia.

Years since qualifying
2
Licensed in
NY, VA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

27005 76th Ave
New Hyde Park, NY 11040-1402
Phone: (718) 470-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 152651 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 0001306029 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 773951 (NY)

Record details

NPI number1457039208
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2023
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Hyde Park