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MITCHELL FRANK JELEN JR.
NPI 1336721422
Student in an Organized Health Care Education/Training Program in Anaheim, CA

Active since April 27, 2021PECOS EnrolledAccepts Medicare Assignment
5460 E LA PALMA AVE, ANAHEIM, CA 92807(714) 463-7500 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mitchell Frank Jelen Jr. NPPES

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

MITCHELL FRANK JELEN JR. (NPI 1336721422) is an individual student in an organized health care education/training program in Anaheim, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2022).

NPPES Registry Identity

NPI1336721422
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMITCHELL FRANK JELEN JR.
Location Address5460 E LA PALMA AVEAnaheim, CA 92807-2023
Mailing Address3984 Trenton AveClovis, CA 93619-5060 · (310) 428-4903
Phone(714) 463-7500
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 2022
Enumeration DateApril 27, 2021
NPPES CertifiedApril 27, 2021
✔ NPI 1336721422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5460 E LA PALMA AVE, Anaheim, CA 92807
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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

Mitchell Frank Jelen Jr. 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 ID5597134825
PECOS Enrollment IDI20221208002184
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 Reassignments

2

Medicare enrollment records show Mitchell Jelen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
233 mi
Optometrist
7075 N SHARON AVE
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
NPI 1366400921 (559) 486-2000
Jelen Optometry Inc.
249 mi
Health Service
620 W YOSEMITE AVE
Madera, CA 93637
  • Reassigned Medicare billing, California enrollment
NPI 1831805035 (559) 674-6268

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
27 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services14 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
12 services12 patients

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.

HENNA LO
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
MARITA BOLIS OD
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
NATHAN AN PHAM
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
MINH-HAN-HANNAH NGUYEN
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
CLAUDETTE CONTRERAS
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
EMMA MEI LING YUE OD
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
BRYAN HIEU CHAU
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500
SARA KIM
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Orange County (714) 463-7500

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 Mitchell Jelen's NPI number?

The NPI number for Mitchell Jelen is 1336721422. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Where is Mitchell Jelen located?

Mitchell Jelen practices at 5460 E La Palma Ave, Anaheim, CA 92807. The listed phone number is (714) 463-7500.

What is Mitchell Jelen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mitchell Jelen enrolled in Medicare?

Yes. Mitchell Jelen 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 organizations bill Medicare for Mitchell Jelen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Jelen reassigns Medicare benefits to 2 organizations: (Fresno, CA) and Jelen Optometry Inc. (Madera, CA). Each 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 Mitchell Jelen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mitchell Jelen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Mitchell Jelen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchell Jelen was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.