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Active NPI 1932736121 Individual Practitioner Female Practitioner

Chan Ly

Nurse Practitioner • Olympia, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Chan Ly is a certified Nurse Practitioner practicing in Olympia, WA. With approximately 5 years of clinical experience since completing medical education in 2021, Chan Ly delivers high-quality medical care to the local community at 141 LILLY RD NE.

Chan Ly is affiliated with American Oncology Partners Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

141 Lilly Rd Ne

Olympia, WA 985065028

Telephone 3604138880
Fax 3608103697
Associated Practice Facility / Clinic
🏢 Vista Oncology Inc Ps Facility NPI 1841450301

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Olympia, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
66 Specialists

Practicing in Olympia, WA (2339 Statewide)

Telehealth Adoption Rate
12.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ly (5 Years) 5 Yrs
Olympia Specialty Average (10.6 Years) 10.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
30 29 $390.00 $108.79

Medical Specialties & State Licenses

CMS Verified: 2024-09-11
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP61214320

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse - Case Management

NUCC Taxonomy Code: 163WC0400X

State License WA RN60240413

Definition to come...

Hospital & Practice Group Affiliations

American Oncology Partners Pa

141 Lilly Rd Ne, Olympia, WA 985065028

Phone: 3604138880

Secondary Practice Locations

315 Mlk Jr Way

Tacoma, WA 98405

Phone: 2534031000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Gayle Funk , PA-C

Physician Assistant

NPI 1114167830

Physician Assistant (Certified)

NPI 1124409198

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Dr. Ahmad Fora , MD

Internal Medicine - Medical Oncology

NPI 1386875011

Doctor of Medicine (M.D.)

Adrienne Wasserman , ARNP

Nurse Practitioner

NPI 1386945905

Advanced Registered Nurse Practitioner

Cheyenne Hardy , PA-C

Physician Assistant

NPI 1902535180

Physician Assistant (Certified)

Daniel Maricle , PA-C

Physician Assistant

NPI 1992387070

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 11, 2024

Registered at 141 LILLY RD NE, OLYMPIA, WA 985065028 (Tel: 3604138880)

📍
Updated Business Mailing Address September 11, 2024

Registered at PO BOX 749495, ATLANTA, GA 303749495 (Tel: 8559632100)

NPI Profile Active March 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2020

Registered at 315 MLK JR WAY, TACOMA, WA 98405 (Tel: 2534031000)

📍
Updated Business Mailing Address March 26, 2020

Registered at 8129 165TH STREET CT E, PUYALLUP, WA 983752115

👤
Provider Name / Credentials Updated March 26, 2020

Recorded as CHAN LY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2020

Registered Nurse (License #RN60240413 in WA)

🟢
Initial NPI Registration & Enumeration March 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932736121
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2020
Last Update: September 11, 2024
Sole Proprietor: No

Mailing Address

Po Box 749495

Atlanta, GA 303749495

Phone: 8559632100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.