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

Q: 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.

Q: What is Jieun Shin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jieun Shin was last updated on May 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 19, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.