JAE ROCK SHIM CRNA
NPI 1477017275
Nurse Anesthetist, Certified Registered in Los Angeles, CA

Active since January 25, 2019Accepts Medicare Assignment
1300 N VERMONT AVE, LOS ANGELES, CA 90027(213) 413-3000 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 2, 2022, Sep 26, 2019, Jan 25, 2019 (3 updates tracked since 2019).

About Jae Rock Shim Crna NPPES

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

JAE ROCK SHIM CRNA (NPI 1477017275) is an individual nurse anesthetist, certified registered in Los Angeles, California, licensed in California (95001105) and active in the NPI registry since January 2019. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1477017275
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJAE ROCK SHIMCredential: CRNA
Location Address1300 N VERMONT AVELos Angeles, CA 90027-6098
Mailing AddressPo Box 25033Santa Ana, CA 92799-5033 · (714) 347-1000 · Fax (714) 347-1082
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 25, 2019
Last NPPES UpdateAugust 2, 20223 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
NPI 1477017275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in CA · 95001105 Licensed in IL · 209.018963
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN686691 (PA)
1300 N VERMONT AVE, Los Angeles, CA 90027

Medicare Participation & PECOS Enrollment Status

Jae Shim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 7214265115

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210709001714

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

This service was performed 20 times for 20 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $35.59 for a new patient copayment and $19.49 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 90027 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $142.39
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $35.59
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $77.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $19.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
1300 N VERMONT AVE, 401
LOS ANGELES, CA 90027
Internal Medicine (Rheumatology)
1300 N VERMONT AVE, #610
LOS ANGELES, CA 90027
Physical Medicine & Rehabilitation
1300 N VERMONT AVE, #610
LOS ANGELES, CA 90027
Anesthesiology
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Specialist
1300 N VERMONT AVE, SUITE 806
LOS ANGELES, CA 90027
Emergency Medicine
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Emergency Medicine
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Anesthesiology
1300 N VERMONT AVE
HOLLYWOOD, CA 90027
Emergency Medicine
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Anesthesiology
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Anesthesiology
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Emergency Medicine
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Urology
1300 N VERMONT AVE, #1009
LOS ANGELES, CA 90027
Pediatrics (Pediatric Cardiology)
1300 N VERMONT AVE, SUITE 402
LOS ANGELES, CA 90027
Specialist
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Obstetrics & Gynecology
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Specialist
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Specialist
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Psychiatry & Neurology (Neurology)
1300 N VERMONT AVE, SUITE 309
LOS ANGELES, CA 90027
Surgery
1300 N VERMONT AVE, SUITE 704
LOS ANGELES, CA 90027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477017275, enumerated as an "individual" on January 25, 2019.

The provider is located at 1300 N VERMONT AVE LOS ANGELES, CA 90027 and the phone number is (213) 413-3000.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.