JEESEON CHUN NP
NPI 1194259309
Nurse Practitioner - Family in San Francisco, CA
About Jeeseon Chun Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEESEON CHUN NP (NPI 1194259309) is an individual family provider in San Francisco, California, licensed in California (95017449) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Mateo, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Jeeseon Chun Np 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 Reassignment
Medicare enrollment records show Jeeseon Chun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Orinda, CA 94563
- Reassigned Medicare billing, California enrollment
- 4,479 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 94109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN FRANCISCO, CA 94109
SAN FRANCISCO, CA 94109
SAN FRANCISCO, CA 94109
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 Jeeseon Chun's NPI number?
The NPI number for Jeeseon Chun is 1194259309. It was assigned to this individual provider in the NPPES registry on April 13, 2017.
Where is Jeeseon Chun located?
Jeeseon Chun practices at 1100 Van Ness Ave, San Francisco, CA 94109. The listed phone number is (415) 600-1050.
What is Jeeseon Chun's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jeeseon Chun enrolled in Medicare?
Yes. Jeeseon Chun 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 Jeeseon Chun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeeseon Chun reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, 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 Jeeseon Chun'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 Jeeseon Chun was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jeeseon Chun, NP · NPI 1194259309
Family physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since April 13, 2017.
## Identity
- **NPI:** 1194259309 (Entity type: Individual)
- **Enumerated:** April 13, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95017449 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 VAN NESS AVE, San Francisco, CA 94109-6978
- **Phone:** (415) 600-1050
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sutter Bay Medical Foundation (NPI 1366898538, Orinda, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194259309) · Data from the CMS NPPES public registry.