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JIE KONG CRNP MSN
NPI 1215040951
Nurse Practitioner - Family in Columbia, MD

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
10802 HICKORY RIDGE RD, COLUMBIA, MD 21044(410) 997-1336(410) 997-1636 Get Directions Write a Review

NPPES record last updated: January 26, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jie Kong Crnp Msn NPPES

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

JIE KONG CRNP MSN (NPI 1215040951) is an individual family provider in Columbia, Maryland, licensed in Maryland (R143501) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1215040951
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJIE KONGCredential: CRNP MSN
Location Address10802 HICKORY RIDGE RDColumbia, MD 21044-3622
Mailing Address10802 Hickory Ridge RdColumbia, MD 21044-3622 · (410) 997-1336 · Fax (410) 997-1636
Phone(410) 997-1336
Fax(410) 997-1636
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 16, 2006
Last NPPES UpdateJanuary 26, 2017
✔ NPI 1215040951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R143501
10802 HICKORY RIDGE RD, Columbia, MD 21044
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Other Identifiers 13

Other1013404MD · Coventry
Medicaid1215040951MD
Medicaid038278500DC
Medicare PIN157PP089MD
Other293176MD · Kaiser
Other783571MD · National Capital Ppo
Other1013404VA · First Health
OtherN1510003MD · Blue Cross Federal
Other5707MD · Elderhealth
Other90192801MD · Blue Cross Of Maryland
Medicare UPINQ74111MD
Medicaid411436100MD
Medicare PIN020357174MD

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

Jie Kong Crnp Msn 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 ID3870594732
PECOS Enrollment IDI20070122000076
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 21044 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 3

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

MATEEN A. AWAN MD LLC
Internal Medicine
10802 HICKORY RIDGE RD
COLUMBIA, MD 21044
Howard County (410) 992-9355
IMRAN H CHOWDHURY MD
Specialist
10802 HICKORY RIDGE RD, STE 310
COLUMBIA, MD 21044
Howard County (410) 997-1336
DR. KHODADAD MODJTABAI M.D.
Specialist
10802 HICKORY RIDGE RD
COLUMBIA, MD 21044
Howard County (301) 997-1336

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 Jie Kong's NPI number?

The NPI number for Jie Kong is 1215040951. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Jie Kong located?

Jie Kong practices at 10802 Hickory Ridge Rd, Columbia, MD 21044. The listed phone number is (410) 997-1336.

What is Jie Kong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jie Kong enrolled in Medicare?

Yes. Jie Kong 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.

When was this NPI record last updated?

The NPPES record for Jie Kong was last updated on January 26, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.