DA SOM JANG DNP
NPI 1477261089
Nurse Practitioner - Psychiatric/Mental Health in Evanston, IL
About Da Som Jang Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DA SOM JANG DNP (NPI 1477261089) is an individual psychiatric/mental health provider in Evanston, Illinois, licensed in Illinois (209026698) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2022).
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 and accepts Medicare assignment
Da Som Jang Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Da Som Jang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Brook, IL 60523
- Reassigned Medicare billing, Illinois enrollment
- 37 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 60201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Da Som Jang's NPI number?
The NPI number for Da Som Jang is 1477261089. It was assigned to this individual provider in the NPPES registry on November 11, 2022.
Where is Da Som Jang located?
Da Som Jang practices at 1406 Chicago Ave, Evanston, IL 60201. The listed phone number is (847) 328-6503.
What is Da Som Jang's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Da Som Jang enrolled in Medicare?
Yes. Da Som Jang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Da Som Jang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Da Som Jang reassigns Medicare benefits to Mugen Psychiatry LLC (Oak Brook, IL). The 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 Da Som Jang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Da Som Jang accept?
Health plans from Oscar Health list Da Som Jang 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.
When was this NPI record last updated?
The NPPES record for Da Som Jang was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Da Som Jang, DNP · NPI 1477261089
Psychiatric/Mental Health physician in Evanston, Illinois. Individual provider, active in the CMS NPPES registry since November 11, 2022.
## Identity
- **NPI:** 1477261089 (Entity type: Individual)
- **Enumerated:** November 11, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 209026698 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1406 CHICAGO AVE, Evanston, IL 60201-4727
- **Phone:** (847) 328-6503
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mugen Psychiatry LLC (NPI 1861146284, Oak Brook, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 2022
## Record status
- **NPPES last updated:** December 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477261089) · Data from the CMS NPPES public registry.