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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEONG MI PAK APRN
NPI 1174097331
Nurse Practitioner - Psychiatric/Mental Health in Farmington, CT

Active since January 21, 2019PECOS Enrolled
89.4/100
CMS Quality Rating
1053 FARMINGTON AVE # 110, FARMINGTON, CT 06032(860) 470-4671(860) 808-0040 Get Directions Write a Review

NPPES record last updated: August 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2026, Mar 19, 2023, Aug 10, 2022 and 2 more (5 updates tracked since 2019).

About Jeong Mi Pak Aprn NPPES

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

JEONG MI PAK APRN (NPI 1174097331) is an individual psychiatric/mental health provider in Farmington, Connecticut, licensed in Connecticut (8209) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Paramus, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174097331
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJEONG MI PAKCredential: APRN
Location Address1053 FARMINGTON AVE # 110Farmington, CT 06032-1574
Mailing Address574 Willis StBristol, CT 06010-7267 · (702) 721-3541 · Fax (860) 808-0040
Phone(860) 470-4671
Fax(860) 808-0040
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 21, 2019
Last NPPES UpdateAugust 2, 20265 updates tracked since enumeration
NPPES CertifiedAugust 2, 2026
✔ NPI 1174097331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CT · 8209✔ Licensed in NJ · 26NJ01120900✔ Licensed in FL · 11005195
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 816263 (NV)
1053 FARMINGTON AVE # 110, Farmington, CT 06032
Open in Google Maps ↗

Secondary Practice Location 1

Location 111-13 Sunflower AveParamus, NJ 07652-3700 · Phone (855) 505-2880

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Jeong Mi Pak Aprn 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 ID2668801168
PECOS Enrollment IDI20201201000118
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.

Areas of Expertise CMS Part B claims 11

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,077 services330 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
304 services303 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
301 services126 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
298 services148 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
289 services150 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
126 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06032 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

89.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.18
Improvement Activities40
Cost71.32

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 Jeong Pak's NPI number?

The NPI number for Jeong Pak is 1174097331. It was assigned to this individual provider in the NPPES registry on January 21, 2019.

Where is Jeong Pak located?

Jeong Pak practices at 1053 Farmington Ave # 110, Farmington, CT 06032. The listed phone number is (860) 470-4671.

What is Jeong Pak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jeong Pak enrolled in Medicare?

Yes. Jeong Pak 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.

What insurance does Jeong Pak accept?

Health plans from Providence Health Plan list Jeong Pak 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.

When was this NPI record last updated?

The NPPES record for Jeong Pak was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.