DA SOM JANG DNP
NPI 1477261089
Nurse Practitioner - Psychiatric/Mental Health in Evanston, IL

Active since November 11, 2022PECOS EnrolledAccepts Medicare Assignment
1406 CHICAGO AVE, EVANSTON, IL 60201(847) 328-6503 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2025, Jan 20, 2023, Nov 11, 2022 (3 updates tracked since 2022).

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

NPI1477261089
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDA SOM JANGCredential: DNP
Location Address1406 CHICAGO AVEEvanston, IL 60201-4727
Mailing Address3023 N Clark St Ste 593Chicago, IL 60657-5200 · (312) 926-2000
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2022
Enumeration DateNovember 11, 2022
Last NPPES UpdateDecember 17, 20253 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1477261089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 209026698
Also ListedRegistered NurseTaxonomy 163W00000X · License 041457288 (IL)
1406 CHICAGO AVE, Evanston, IL 60201

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID7113386004
PECOS Enrollment IDI20230711000584
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 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.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Intermediate Care Facility, Mental Illness
1406 CHICAGO AVE
EVANSTON, IL 60201
Social Worker (Clinical)
1406 CHICAGO AVE
EVANSTON, IL 60201

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.

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 8 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.