VICTORIA JIN
NPI 1356053573
Nurse Anesthetist, Certified Registered in Royal Oak, MI
About Victoria Jin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICTORIA JIN (NPI 1356053573) is an individual nurse anesthetist, certified registered in Royal Oak, Michigan, licensed in Michigan (4704380202) and active in the NPI registry since December 2022. She is affiliated with Beaumont Hospital - Dearborn and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Victoria Jin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Victoria Jin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Troy, MI 48098
- Reassigned Medicare billing, Michigan enrollment
- 131 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 905 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Dearborn
Acute Care Hospitals · Dearborn, MIFrequently 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 Victoria Jin's NPI number?
The NPI number for Victoria Jin is 1356053573. It was assigned to this individual provider in the NPPES registry on December 19, 2022.
Where is Victoria Jin located?
Victoria Jin practices at 3806 Kent Rd, Royal Oak, MI 48073. The listed phone number is (248) 602-8937.
What is Victoria Jin's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Victoria Jin enrolled in Medicare?
Yes. Victoria Jin is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Victoria Jin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Jin reassigns Medicare benefits to 2 organizations: Long Lake Anesthesiology Consultants, Plc (Troy, MI) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). 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 Victoria Jin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Victoria Jin accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Victoria Jin 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.
Is Victoria Jin affiliated with any hospitals?
According to CMS data, Victoria Jin is affiliated with Beaumont Hospital - Dearborn.
When was this NPI record last updated?
The NPPES record for Victoria Jin was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Victoria Jin · NPI 1356053573
Nurse Anesthetist, Certified Registered physician in Royal Oak, Michigan. Individual provider, active in the CMS NPPES registry since December 19, 2022.
## Identity
- **NPI:** 1356053573 (Entity type: Individual)
- **Enumerated:** December 19, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704380202 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3806 KENT RD, Royal Oak, MI 48073-1814
- **Phone:** (248) 602-8937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Long Lake Anesthesiology Consultants, Plc (NPI 1194812651, Troy, MI); Northstar Anesthesia Of Michigan III PLLC (NPI 1972126209, Irving, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356053573) · Data from the CMS NPPES public registry.