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JESSE TUNG
NPI 1114634185
Nurse Practitioner - Family in San Bruno, CA

Active since October 31, 2022PECOS Enrolled
10 BAYHILL SHOPPING CENTER, SAN BRUNO, CA 94066(650) 873-9522 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesse Tung NPPES

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

JESSE TUNG (NPI 1114634185) is an individual family provider in San Bruno, California, licensed in California (95015292) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114634185
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJESSE TUNG
Location Address10 BAYHILL SHOPPING CENTERSan Bruno, CA 94066
Mailing Address10 Bayhill Shopping CenterSan Bruno, CA 94066
Phone(650) 873-9522
Sole ProprietorNo
Enumeration DateOctober 31, 2022
NPPES CertifiedOctober 26, 2022
✔ NPI 1114634185 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 · 95015292
10 BAYHILL SHOPPING CENTER, San Bruno, CA 94066
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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 (PECOS)

Jesse Tung is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94066 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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

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

MRS. AMI NARAYAN FNP
Nurse Practitioner (Family)
10 BAYHILL SHOPPING CENTER
SAN BRUNO, CA 94066
San Mateo County (650) 873-9522

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 Jesse Tung's NPI number?

The NPI number for Jesse Tung is 1114634185. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Jesse Tung located?

Jesse Tung practices at 10 Bayhill Shopping Center, San Bruno, CA 94066. The listed phone number is (650) 873-9522.

What is Jesse Tung's specialty?

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

Is Jesse Tung enrolled in Medicare?

Yes. Jesse Tung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesse Tung was last updated on October 31, 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.