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JIYOUN SONG
NPI 1003347253
Nurse Practitioner - Acute Care in Flushing, NY

Active since March 21, 2017PECOS Enrolled
15408 NORTHERN BLVD, #2K, FLUSHING, NY 11354(718) 445-0200 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jiyoun Song NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIYOUN SONG (NPI 1003347253) is an individual acute care provider in Flushing, New York, licensed in New York (431104) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003347253
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJIYOUN SONG
Location Address15408 NORTHERN BLVD, #2KFlushing, NY 11354-5040
Mailing Address15408 Northern Blvd, #2kFlushing, NY 11354-5040 · (718) 445-0200
Phone(718) 445-0200
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 21, 2017
✔ NPI 1003347253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · 431104
Also ListedRegistered NurseTaxonomy 163W00000X · License 694059 (NY)
15408 NORTHERN BLVD, Flushing, NY 11354
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jiyoun Song is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204214802
PECOS Enrollment IDI20220610001304
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jiyoun Song reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Parcare Community Health Network Inc
9.1 mi
Multi-Specialty
445 PARK AVE
Brooklyn, NY 11205
  • Reassigned Medicare billing, New York enrollment
  • 193 clinicians in this Medicare group
NPI 1730454083 (718) 963-0800
Beacon Health Medical PC
12 mi
Internal Medicine
17 W 9TH ST
Brooklyn, NY 11231
  • Reassigned Medicare billing, New York enrollment
  • 60 clinicians in this Medicare group
NPI 1679393052 (718) 599-9090
Park Avenue Pediatrics, P.C.
30 mi
Pediatrics
12 DEERWOOD RD
Spring Valley, NY 10977
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Park Avenue Pediatrics PC
  • 87 clinicians in this Medicare group
NPI 1699969543 (845) 671-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,180 services226 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
102 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOON MO MYUNG MD
Internal Medicine (Gastroenterology)
15408 NORTHERN BLVD, SUITE 2K
FLUSHING, NY 11354
Queens County (718) 445-0200
HELPING HANDS PT & REHAB CARE, P.C.
Physical Therapist
15408 NORTHERN BLVD, 2F
FLUSHING, NY 11354
Queens County (718) 939-1275
MYUNG GASTROENTEROLOGY, P.C.
Internal Medicine (Gastroenterology)
15408 NORTHERN BLVD, SUITE 2K
FLUSHING, NY 11354
Queens County (718) 445-0200
MR. JUWAN HONG P.T.
Physical Therapist
15408 NORTHERN BLVD, 2F
FLUSHING, NY 11354
Queens County (718) 939-1275
154 NORTHERN MEDICAL PRACTICE
Clinic/Center (Ambulatory Surgical)
15408 NORTHERN BLVD, SUITE 2K
FLUSHING, NY 11354
Queens County (718) 445-0200
WELL LIFE MEDICAL CONSULTING PLLC
Anesthesiology
15408 NORTHERN BLVD, SUITE 2K
FLUSHING, NY 11354
Queens County (718) 445-0200
YEONTAI JUNG M.S. P.T.
Physical Therapist
15408 NORTHERN BLVD, 2F
FLUSHING, NY 11354
Queens County (718) 939-1275
YOON MO MYUNG OPHTHALMOLOGY PC
Ophthalmology
15408 NORTHERN BLVD, SUITE1C
FLUSHING, NY 11354
Queens County (740) 277-3063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jiyoun Song's NPI number?

The NPI number for Jiyoun Song is 1003347253. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Jiyoun Song located?

Jiyoun Song practices at 15408 Northern Blvd #2k, Flushing, NY 11354. The listed phone number is (718) 445-0200.

What is Jiyoun Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jiyoun Song enrolled in Medicare?

Yes. Jiyoun Song is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jiyoun Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jiyoun Song reassigns Medicare benefits to 3 organizations: Parcare Community Health Network Inc (Brooklyn, NY), Beacon Health Medical PC (Brooklyn, NY) and Park Avenue Pediatrics, P.C. (Spring Valley, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jiyoun Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jiyoun Song was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.