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MRS. JESSICA LYN CHAN APRN
NPI 1174937114
Nurse Practitioner - Pediatrics in New London, CT

Active since June 18, 2014PECOS Enrolled
74 GROVE ST, NEW LONDON, CT 06320(860) 447-6070(860) 443-6616 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jessica Lyn Chan Aprn NPPES

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

MRS. JESSICA LYN CHAN APRN (NPI 1174937114) is an individual pediatrics provider in New London, Connecticut, licensed in Connecticut (5804) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Branford.

NPPES Registry Identity

NPI1174937114
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. JESSICA LYN CHANCredential: APRN
Location Address74 GROVE STNew London, CT 06320-6515
Mailing Address999 Foxon Road, Suite 36North Branford, CT 06471 · (203) 484-7334 · Fax (203) 484-7301
Phone(860) 447-6070
Fax(860) 443-6616
Sole ProprietorYes
Enumeration DateJune 18, 2014
Last NPPES UpdateSeptember 10, 2018
✔ NPI 1174937114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CT · 5804
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 94495 (CT)
74 GROVE ST, New London, CT 06320
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Other Names 1

Former Name (1)Miss Jessica Lyn Davis Aprn

Secondary Practice Location 1

Location 1682 East Main StreetBranford, CT 06405 · Phone (203) 481-5591 · Fax (203) 481-5594

Other Identifiers 1

Medicaid008054046CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica Lyn Chan Aprn 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 06320 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.

Other Providers at the Same Location NPPES

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

CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Clinic/Center
74 GROVE ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-6070

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 Jessica Chan's NPI number?

The NPI number for Jessica Chan is 1174937114. It was assigned to this individual provider in the NPPES registry on June 18, 2014. The provider is also known as Miss Jessica Lyn Davis Aprn.

Where is Jessica Chan located?

Jessica Chan practices at 74 Grove St, New London, CT 06320. The listed phone number is (860) 447-6070.

What is Jessica Chan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jessica Chan enrolled in Medicare?

Yes. Jessica Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Chan was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.