MR. JACK CHEN MSN, FNP-BC
NPI 1316190531
Nurse Practitioner - Family in Santa Clara, CA
About Mr. Jack Chen Msn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACK CHEN MSN, FNP-BC (NPI 1316190531) is an individual family provider in Santa Clara, California, licensed in California (18657) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Jack Chen Msn, Fnp-bc 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 Jack Chen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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 95051 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
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 Jack Chen's NPI number?
The NPI number for Jack Chen is 1316190531. It was assigned to this individual provider in the NPPES registry on October 31, 2008.
Where is Jack Chen located?
Jack Chen practices at 710 Lawrence Expressway, Santa Clara, CA 95051. The listed phone number is (408) 851-6210.
What is Jack Chen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jack Chen enrolled in Medicare?
Yes. Jack Chen 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 Jack Chen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Chen reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Jack Chen'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 Jack Chen was last updated on January 31, 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.
# Mr. Jack Chen, MSN, FNP-BC · NPI 1316190531
Family physician in Santa Clara, California. Individual provider, active in the CMS NPPES registry since October 31, 2008.
## Identity
- **NPI:** 1316190531 (Entity type: Individual)
- **Enumerated:** October 31, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 18657 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 710 LAWRENCE EXPRESSWAY, Santa Clara, CA 95051
- **Phone:** (408) 851-6210
## 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:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1316190531) · Data from the CMS NPPES public registry.