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JIEUN SHIN
NPI 1275035917
Nurse Practitioner - Primary Care in Garden Grove, CA

Active since March 07, 2018PECOS Enrolled
9896 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844(714) 636-3032(714) 636-3116 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 25, 2022, Mar 7, 2018 (2 updates tracked since 2018).

About Jieun Shin NPPES

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

JIEUN SHIN (NPI 1275035917) is an individual primary care provider in Garden Grove, California, licensed in California (NP95008532) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275035917
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJIEUN SHIN
Location Address9896 GARDEN GROVE BLVDGarden Grove, CA 92844-1643
Mailing Address9896 Garden Grove BlvdGarden Grove, CA 92844-1643 · (714) 636-3032 · Fax (714) 636-3032
Phone(714) 636-3032
Fax(714) 636-3116
Sole ProprietorNo
Enumeration DateMarch 7, 2018
Last NPPES UpdateMay 25, 20222 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1275035917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · NP95008532
9896 GARDEN GROVE BLVD, Garden Grove, CA 92844
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jieun Shin 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.

Medicare Billing Reassignment

Medicare enrollment records show Jieun Shin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Garden Grove Medical Group Inc
Same address
General Practice
9896 GARDEN GROVE BLVD
Garden Grove, CA 92844
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1972781458 (714) 636-3032

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 92844 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 10

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

BEST PHYSICAL THERAPY AND REHABILITATION INC
Occupational Therapist
9896 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844
Orange County (657) 233-5502
OHANA IPA INC
Health Maintenance Organization
9896 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844
Orange County (714) 636-3032
ANTHONY JINEUN CHO DC
Chiropractor
9896 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844
Orange County (714) 636-3032
DR. CARSON HING-KA LING MD
Pain Medicine (Interventional Pain Medicine)
9896 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844
Orange County (714) 636-3032
PRO FOOT AND ANKLE CLINIC.INC
Podiatrist (Primary Podiatric Medicine)
9896 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844
Orange County (714) 636-3032
CARSON LING MD A MEDICAL CORPORATION
Pain Medicine (Interventional Pain Medicine)
9896 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844
Orange County (714) 636-3032
HANSANG NOH M.D. LLC
Anesthesiology (Pain Medicine)
9896 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844
Orange County (714) 636-3032
SUE PARK LAC
Acupuncturist
9896 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844
Orange County (714) 636-3032

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 Jieun Shin's NPI number?

The NPI number for Jieun Shin is 1275035917. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Where is Jieun Shin located?

Jieun Shin practices at 9896 Garden Grove Blvd, Garden Grove, CA 92844. The listed phone number is (714) 636-3032.

What is Jieun Shin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jieun Shin enrolled in Medicare?

Yes. Jieun Shin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jieun Shin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jieun Shin reassigns Medicare benefits to Garden Grove Medical Group Inc (Garden Grove, 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 Jieun Shin'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 Jieun Shin was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.