MS. JIYOUNG JEONG YANG ANP-C
NPI 1053895904
Nurse Practitioner - Primary Care in Flushing, NY

Active since September 17, 2018PECOS EnrolledAccepts Medicare Assignment
15814 NORTHERN BLVD STE UL3, FLUSHING, NY 11358(917) 633-7713(917) 633-7713 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Feb 21, 2025, Sep 17, 2018 (3 updates tracked since 2018).

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

NPI1053895904
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. JIYOUNG JEONG YANGCredential: ANP-C
Location Address15814 NORTHERN BLVD STE UL3Flushing, NY 11358-1600
Mailing Address20 Hillside LnSyosset, NY 11791-4111 · (917) 940-0302
Fax(917) 633-7713
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 17, 2018
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1053895904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NY · F308815-1
15814 NORTHERN BLVD STE UL3, Flushing, NY 11358

Secondary Practice Location 1

Location 11235 Suffolk AveBrentwood, NY 11717-4511 · Phone (631) 436-7770

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4587080551
PECOS Enrollment IDI20200820002943
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.

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.

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 3

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

Nurse Practitioner (Primary Care)
15814 NORTHERN BLVD STE UL3
FLUSHING, NY 11358
Chiropractor
15814 NORTHERN BLVD STE UL3
FLUSHING, NY 11358
Occupational Therapist
15814 NORTHERN BLVD STE UL3
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.

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 16 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.