HYUNGBOK H JEONG
NPI 1053947465
Nurse Practitioner - Family in Trumbull, CT
About Hyungbok H Jeong NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HYUNGBOK H JEONG (NPI 1053947465) is an individual family provider in Trumbull, Connecticut, licensed in Connecticut (8752) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hyungbok H Jeong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Hyungbok Jeong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bridgeport, CT 06610
- Reassigned Medicare billing, Connecticut enrollment
- 1,824 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 06611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Hyungbok Jeong's NPI number?
The NPI number for Hyungbok Jeong is 1053947465. It was assigned to this individual provider in the NPPES registry on March 17, 2020.
Where is Hyungbok Jeong located?
Hyungbok Jeong practices at 5520 Park Ave, Trumbull, CT 06611. The listed phone number is (203) 371-5873.
What is Hyungbok Jeong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Hyungbok Jeong enrolled in Medicare?
Yes. Hyungbok Jeong is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Hyungbok Jeong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hyungbok Jeong reassigns Medicare benefits to Northeast Medical Group, Inc. (Bridgeport, CT). The 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 Hyungbok Jeong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hyungbok Jeong accept?
Health plans from Anthem Blue Cross and Blue Shield list Hyungbok Jeong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Hyungbok Jeong was last updated on May 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Hyungbok H Jeong · NPI 1053947465
Family physician in Trumbull, Connecticut. Individual provider, active in the CMS NPPES registry since March 17, 2020.
## Identity
- **NPI:** 1053947465 (Entity type: Individual)
- **Enumerated:** March 17, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 8752 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 5520 PARK AVE, Trumbull, CT 06611-3463
- **Phone:** (203) 371-5873
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northeast Medical Group, Inc. (NPI 1043278351, Bridgeport, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053947465) · Data from the CMS NPPES public registry.