JESSICA KWONG YUN CHAN MD
NPI 1194307769
Family Medicine in Fort Leonard Wood, MO

Q: What is Jessica Chan's NPI number?

The NPI number for Jessica Chan is 1194307769. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Q: What is Jessica Chan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Chan was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since April 23, 2021PECOS Enrolled

4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473(573) 596-0417 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2026, Sep 4, 2024, Sep 22, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Jessica Kwong Yun Chan Md NPPES

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

JESSICA KWONG YUN CHAN MD (NPI 1194307769) is an individual family medicine provider in Fort Leonard Wood, Missouri, licensed in Ohio (35.147420) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194307769

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJESSICA KWONG YUN CHANCredential: MD

Location Address4234 ILLINOIS AVEFort Leonard Wood, MO 65473-9098

Mailing Address4234 Illinois AveFort Leonard Wood, MO 65473-9098 · (573) 596-0417

Phone(573) 596-0417

Sole ProprietorNo

Enumeration DateApril 23, 2021

Last NPPES UpdateApril 20, 20264 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1194307769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35.147420

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4234 ILLINOIS AVE, Fort Leonard Wood, MO 65473

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Kwong Yun Chan Md 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 65473 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 20

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

DARRIN ALEXANDER MSW

Social Worker