MS. JIYOUNG JEONG YANG ANP-C
NPI 1053895904
Nurse Practitioner - Primary Care in Flushing, NY
About Ms. Jiyoung Jeong Yang Anp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JIYOUNG JEONG YANG ANP-C (NPI 1053895904) is an individual primary care provider in Flushing, New York, licensed in New York (F308815-1) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brentwood, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Jiyoung Jeong Yang Anp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jiyoung Yang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flushing, NY 11358
- Reassigned Medicare billing, New York enrollment
Brentwood, NY 11717
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Suffolk First Medical, PC
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11358 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLUSHING, NY 11358
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 Jiyoung Yang's NPI number?
The NPI number for Jiyoung Yang is 1053895904. It was assigned to this individual provider in the NPPES registry on September 17, 2018.
Where is Jiyoung Yang located?
Jiyoung Yang practices at 15814 Northern Blvd Ste Ul3, Flushing, NY 11358. The listed phone number is (917) 633-7713.
What is Jiyoung Yang's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Jiyoung Yang enrolled in Medicare?
Yes. Jiyoung Yang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jiyoung Yang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jiyoung Yang reassigns Medicare benefits to 2 organizations: Jiyoung Yang, Np In Adult Health PLLC (Flushing, NY) and Suffolk First Medical, P.C. (Brentwood, 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 Jiyoung Yang'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 Jiyoung Yang was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Ms. Jiyoung Jeong Yang, ANP-C · NPI 1053895904
Primary Care physician in Flushing, New York. Individual provider, active in the CMS NPPES registry since September 17, 2018.
## Identity
- **NPI:** 1053895904 (Entity type: Individual)
- **Enumerated:** September 17, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** F308815-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 15814 NORTHERN BLVD STE UL3, Flushing, NY 11358-1600
- **Phone:** (917) 633-7713 · **Fax:** (917) 633-7713
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Jiyoung Yang, Np In Adult Health PLLC (NPI 1144027962, Flushing, NY); Suffolk First Medical, P.C. (NPI 1851403398, Brentwood, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053895904) · Data from the CMS NPPES public registry.