JAE WOO NP
NPI 1083193635
Nurse Practitioner - Family in Brea, CA

Q: What is Jae Woo's NPI number?

The NPI number for Jae Woo is 1083193635. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Q: What is Jae Woo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jae Woo was last updated on July 25, 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.

Active since August 13, 2018PECOS EnrolledAccepts Medicare Assignment

955 W IMPERIAL HWY STE 200, BREA, CA 92821(714) 449-6900 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2023, Mar 21, 2019, Aug 26, 2018 and 1 more (4 updates tracked since 2018).

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About Jae Woo Np NPPES

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

JAE WOO NP (NPI 1083193635) is an individual family provider in Brea, California, licensed in California (95009491) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1083193635

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJAE WOOCredential: NP

Location Address955 W IMPERIAL HWY STE 200Brea, CA 92821-3812

Mailing Address955 W Imperial Hwy Ste 200Brea, CA 92821-3812 · (714) 449-6900

Phone(714) 449-6900

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 13, 2018

Last NPPES UpdateJuly 25, 20234 updates tracked since enumeration

NPPES CertifiedJuly 25, 2023

✔ NPI 1083193635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95009491

955 W IMPERIAL HWY STE 200, Brea, CA 92821

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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

Jae Woo Np 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 ID345663241

PECOS Enrollment IDI20200710002172

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 92821 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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Other Providers at the Same Location NPPES 16

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

RENEE PHAM NP

Nurse Practitioner (Family)