MISS JANN BUDIMAN RUNYON NP-C
NPI 1154905016
Nurse Practitioner - Acute Care in Los Angeles, CA

Active since May 07, 2021PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
1500 SAN PABLO ST, LOS ANGELES, CA 90033(323) 442-5908 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 18, 2023, Aug 30, 2023, Dec 14, 2022 and 3 more (6 updates tracked since 2021).

About Miss Jann Budiman Runyon Np-c NPPES

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

MISS JANN BUDIMAN RUNYON NP-C (NPI 1154905016) is an individual acute care provider in Los Angeles, California, licensed in California (95018180) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154905016
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMISS JANN BUDIMAN RUNYONCredential: NP-C
Location Address1500 SAN PABLO STLos Angeles, CA 90033-5313
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 7, 2021
Last NPPES UpdateOctober 18, 20236 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1154905016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95018180
1500 SAN PABLO ST, Los Angeles, CA 90033

Other Names 1

Former Name (1)Jann Palma Budiman Np

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

Miss Jann Budiman Runyon Np-c 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 ID5496121931
PECOS Enrollment IDI20221025000690
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.

Medicare Billing Reassignment

Medicare enrollment records show Jann Runyon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 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 90033 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.

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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

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.

Nurse Anesthetist, Certified Registered
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Internal Medicine
1500 SAN PABLO ST, 3 NORTH UNIVERSITY HOSPITAL
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Occupational Therapist
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1500 SAN PABLO ST
LOS ANGELES, CA 90033

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 Jann Runyon's NPI number?

The NPI number for Jann Runyon is 1154905016. It was assigned to this individual provider in the NPPES registry on May 7, 2021. The provider is also known as Jann Palma Budiman Np.

Where is Jann Runyon located?

Jann Runyon practices at 1500 San Pablo St, Los Angeles, CA 90033. The listed phone number is (323) 442-5908.

What is Jann Runyon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jann Runyon enrolled in Medicare?

Yes. Jann Runyon 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 organization bills Medicare for Jann Runyon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jann Runyon reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, CA). 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 Jann Runyon'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 Jann Runyon was last updated on October 18, 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.