MRS. JENNIFER K JEONG AGACNP
NPI 1366050197
Nurse Practitioner - Acute Care in Los Angeles, CA

Q: What is Jennifer Jeong's NPI number?

The NPI number for Jennifer Jeong is 1366050197. It was assigned to this individual provider in the NPPES registry on July 17, 2020.

Q: What is Jennifer Jeong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Jeong was last updated on November 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 17, 2020PECOS Enrolled

200 UCLA MEDICAL PLZ STE 550, LOS ANGELES, CA 90095(310) 206-6688 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 16, 2021, Jul 17, 2020 (2 updates tracked since 2020).

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About Mrs. Jennifer K Jeong Agacnp NPPES

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

MRS. JENNIFER K JEONG AGACNP (NPI 1366050197) is an individual acute care provider in Los Angeles, California, licensed in California (95012506) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366050197

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. JENNIFER K JEONGCredential: AGACNP

Location Address200 UCLA MEDICAL PLZ STE 550Los Angeles, CA 90095-2328

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 206-6688

Sole ProprietorYes

Enumeration DateJuly 17, 2020

Last NPPES UpdateNovember 16, 20212 updates tracked since enumeration

NPPES CertifiedNovember 16, 2021

✔ NPI 1366050197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95012506

200 UCLA MEDICAL PLZ STE 550, Los Angeles, CA 90095

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Secondary Practice Locations 2

Location 13530 Wilshire BlvdLos Angeles, CA 90010-2328 · Phone (866) 983-3167

Location 21131 Wilshire Blvd Ste 302Santa Monica, CA 90401-2061 · Phone (424) 259-6559

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer K Jeong Agacnp 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 90095 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

1 supplier27 claims27 services$39.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

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