JAE MIN JUNG
NPI 1104598598
Nurse Anesthetist, Certified Registered in Clackamas, OR
About Jae Min Jung NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAE MIN JUNG (NPI 1104598598) is an individual nurse anesthetist, certified registered in Clackamas, Oregon, licensed in Oregon (10018660) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Grande Ronde Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
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
Jae Min Jung 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
10Medicare enrollment records show Jae Min Jung reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon enrollment
- 3,207 clinicians in this Medicare group
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 419 clinicians in this Medicare group
Hermiston, OR 97838
- Reassigned Medicare billing, Oregon enrollment
- Also billed through NPI 1295789667 (Oregon)
- 344 clinicians in this Medicare group
Coos Bay, OR 97420
- Reassigned Medicare billing, Oregon enrollment
- 10 clinicians in this Medicare group
La Grande, OR 97850
- Reassigned Medicare billing, Oregon enrollment
- 158 clinicians in this Medicare group
Clarkston, WA 99403
- Reassigned Medicare billing, Washington enrollment
- 139 clinicians in this Medicare group
Woodruff, WI 54568
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
- 32 clinicians in this Medicare group
Richardson, TX 75082
- Reassigned Medicare billing, Washington enrollment
- 65 clinicians in this Medicare group
Lebanon, NH 03756
- Reassigned Medicare billing, New Hampshire enrollment
- 2,999 clinicians in this Medicare group
Lebanon, NH 03756
- Reassigned Medicare billing, New Hampshire enrollment
- 2,620 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grande Ronde Hospital
Critical Access Hospitals · La Grande, ORGood Shepherd Medical Center
Critical Access Hospitals · Hermiston, ORTrios Health
Acute Care Hospitals · Kennewick, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97015 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.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
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 Jae Min Jung's NPI number?
The NPI number for Jae Min Jung is 1104598598. It was assigned to this individual provider in the NPPES registry on October 4, 2021.
Where is Jae Min Jung located?
Jae Min Jung practices at 10180 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (800) 813-2000.
What is Jae Min Jung's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jae Min Jung enrolled in Medicare?
Yes. Jae Min Jung 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 Jae Min Jung's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jae Min Jung reassigns Medicare benefits to 10 organizations: Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR), Hospitalist Medicine Physicians Of Washington - Tcs (Portland, OR), Good Shepherd Health Care System (Hermiston, OR), South Coast Surgery Center, LLC (Coos Bay, OR), Grande Ronde Hospital, Inc. (La Grande, OR) and 5 more organizations, listed in the Medicare section above. 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 Jae Min Jung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jae Min Jung accept?
Health plans from Moda Health Plan, Inc. list Jae Min Jung 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.
Is Jae Min Jung affiliated with any hospitals?
According to CMS data, Jae Min Jung is affiliated with Grande Ronde Hospital, Good Shepherd Medical Center and Trios Health.
When was this NPI record last updated?
The NPPES record for Jae Min Jung was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jae Min Jung · NPI 1104598598
Nurse Anesthetist, Certified Registered physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since October 4, 2021.
## Identity
- **NPI:** 1104598598 (Entity type: Individual)
- **Enumerated:** October 4, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 10018660 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 10180 SE SUNNYSIDE RD, Clackamas, OR 97015-8970
- **Phone:** (800) 813-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of The Northwest (NPI 1174851505, Clackamas, OR); Hospitalist Medicine Physicians Of Washington - Tcs (NPI 1649816380, Portland, OR); Good Shepherd Health Care System (NPI 1336198159, Hermiston, OR); South Coast Surgery Center, LLC (NPI 1205889110, Coos Bay, OR); Grande Ronde Hospital, Inc. (NPI 1467446195, La Grande, OR); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104598598) · Data from the CMS NPPES public registry.