GI EUN CHA NP
NPI 1396327417
Nurse Practitioner - Family in Glenwood Landing, NY
About Gi Eun Cha Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GI EUN CHA NP (NPI 1396327417) is an individual family provider in Glenwood Landing, New York, licensed in New York (F347353-01) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
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 (PECOS)
Gi Eun Cha Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Gi Eun Cha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jericho, NY 11753
- Reassigned Medicare billing, New York enrollment
- 413 clinicians in this Medicare group
Mount Kisco, NY 10549
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Optum Medical Care PC
- 1,601 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 11547 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Gi Eun Cha's NPI number?
The NPI number for Gi Eun Cha is 1396327417. It was assigned to this individual provider in the NPPES registry on April 27, 2021.
Where is Gi Eun Cha located?
Gi Eun Cha practices at 5 Betty Ln, Glenwood Landing, NY 11547. The listed phone number is (646) 289-2202.
What is Gi Eun Cha's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gi Eun Cha enrolled in Medicare?
Yes. Gi Eun Cha is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Gi Eun Cha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gi Eun Cha reassigns Medicare benefits to 2 organizations: Optum Urgent Care, PLLC (Jericho, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). 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 Gi Eun Cha'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 Gi Eun Cha 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.
# Gi Eun Cha, NP · NPI 1396327417
Family physician in Glenwood Landing, New York. Individual provider, active in the CMS NPPES registry since April 27, 2021.
## Identity
- **NPI:** 1396327417 (Entity type: Individual)
- **Enumerated:** April 27, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F347353-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5 BETTY LN, Glenwood Landing, NY 11547-3000
- **Phone:** (646) 289-2202
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Optum Urgent Care, PLLC (NPI 1285975797, Jericho, NY); Optum Medical Care, P.C. (NPI 1982643003, Mount Kisco, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1396327417) · Data from the CMS NPPES public registry.