JEENA ELIZABETH JOHN
NPI 1093202871
Psychiatry & Neurology - Psychiatry in Port Jefferson, NY
About Jeena Elizabeth John NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEENA ELIZABETH JOHN (NPI 1093202871) is an individual psychiatry provider in Port Jefferson, New York, licensed in New York (313571) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Jeena Elizabeth John 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
4Medicare enrollment records show Jeena John reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Jefferson Station, NY 11777
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1467249334 (New York)
- 232 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
New York, NY 10001
- Reassigned Medicare billing, New York enrollment
- 590 clinicians in this Medicare group
Jacksonville, FL 32207
- Reassigned Medicare billing, Pennsylvania enrollment
- 96 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11777 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.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
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 Jeena John's NPI number?
The NPI number for Jeena John is 1093202871. It was assigned to this individual provider in the NPPES registry on April 17, 2018.
Where is Jeena John located?
Jeena John practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 686-2517.
What is Jeena John's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Jeena John enrolled in Medicare?
Yes. Jeena John 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 Jeena John's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeena John reassigns Medicare benefits to 4 organizations: John T. Mather Memorial Hospital (Port Jefferson Station, NY), North Shore-Lij Medical PC (Great Neck, NY), Mccd Psychiatry Services PLLC (New York, NY) and Mccd Fl Psychiatry Services PA (Jacksonville, FL). 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 Jeena John'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 Jeena John was last updated on December 16, 2022. 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.
# Jeena Elizabeth John · NPI 1093202871
Psychiatry physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since April 17, 2018.
## Identity
- **NPI:** 1093202871 (Entity type: Individual)
- **Enumerated:** April 17, 2018
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 313571 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 75 N COUNTRY RD, Port Jefferson, NY 11777-2119
- **Phone:** (631) 686-2517
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): John T. Mather Memorial Hospital (NPI 1376642371, Port Jefferson Station, NY); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); Mccd Psychiatry Services PLLC (NPI 1033750823, New York, NY); Mccd Fl Psychiatry Services PA (NPI 1659003457, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1093202871) · Data from the CMS NPPES public registry.