SAE JEONG
NPI 1457195877
Nurse Practitioner - Family in Roanoke, VA

Active since June 20, 2024PECOS Enrolled
2331 FRANKLIN RD SW, ROANOKE, VA 24014(540) 510-6200 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2024, Jun 20, 2024 (2 updates tracked since 2024).

About Sae Jeong NPPES

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

SAE JEONG (NPI 1457195877) is an individual family provider in Roanoke, Virginia, licensed in Virginia (0024190174) and active in the NPI registry since June 2024. The provider is enrolled in Medicare PECOS and maintains a secondary practice location in Roanoke.

NPPES Registry Identity

NPI1457195877
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NameSAE JEONG
Location Address2331 FRANKLIN RD SWRoanoke, VA 24014-1111
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5353
Sole ProprietorYes
Enumeration DateJune 20, 2024
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1457195877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024190174
2331 FRANKLIN RD SW, Roanoke, VA 24014

Secondary Practice Location 1

Location 12331 Franklin Rd SWRoanoke, VA 24014-1111 · Phone (540) 981-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sae Jeong 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Sae Jeong reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dental
2017 JEFFERSON ST SW
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 1,207 clinicians in this Medicare group
Multi-Specialty
213 S JEFFERSON ST STE 1006
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 956 clinicians in this Medicare group
General Acute Care Hospital
180 FLOYD AVE
Rocky Mount, VA 24151
  • Reassigned Medicare billing, Virginia enrollment
  • 127 clinicians in this Medicare group
Rural Health
18080 MAIN ST
Buchanan, VA 24066
  • Reassigned Medicare billing, Virginia enrollment
  • 507 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 24014 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

Physical Medicine & Rehabilitation
2331 FRANKLIN RD SW
ROANOKE, VA 24014
Orthopaedic Surgery (Hand Surgery)
2331 FRANKLIN RD SW
ROANOKE, VA 24014
Physician Assistant (Surgical)
2331 FRANKLIN RD SW
ROANOKE, VA 24014
Physician Assistant (Surgical)
2331 FRANKLIN RD SW
ROANOKE, VA 24014
Orthopaedic Surgery
2331 FRANKLIN RD SW
ROANOKE, VA 24014
Physical Medicine & Rehabilitation
2331 FRANKLIN RD SW
ROANOKE, VA 24014
Physician Assistant
2331 FRANKLIN RD SW
ROANOKE, VA 24014
Physical Medicine & Rehabilitation (Sports Medicine)
2331 FRANKLIN RD SW
ROANOKE, VA 24014

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 Sae Jeong's NPI number?

The NPI number for Sae Jeong is 1457195877. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Where is Sae Jeong located?

Sae Jeong practices at 2331 Franklin Rd SW, Roanoke, VA 24014. The listed phone number is (540) 510-6200.

What is Sae Jeong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sae Jeong enrolled in Medicare?

Yes. Sae Jeong is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sae Jeong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sae Jeong reassigns Medicare benefits to 4 organizations: Carilion Medical Center (Roanoke, VA), Carilion Healthcare Corporation (Roanoke, VA), Carilion Franklin Memorial Hospital (Rocky Mount, VA) and Carilion Rockbridge Community Hospital (Buchanan, VA). 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 Sae Jeong'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 Sae Jeong was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.