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JEFFANNIE KRYSTEL TAN DUAN
NPI 1477389310
Nurse Practitioner - Women's Health in Kenilworth, NJ

Active since September 09, 2024PECOS Enrolled
41 N 11TH ST, KENILWORTH, NJ 07033(551) 689-3615 Get Directions Write a Review

NPPES record last updated: October 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 11, 2025, Sep 9, 2024 (2 updates tracked since 2024).

About Jeffannie Krystel Tan Duan NPPES

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

JEFFANNIE KRYSTEL TAN DUAN (NPI 1477389310) is an individual women's health provider in Kenilworth, New Jersey, licensed in New Jersey (26NJ15441100) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1477389310
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameJEFFANNIE KRYSTEL TAN DUAN
Location Address41 N 11TH STKenilworth, NJ 07033-1519
Mailing Address41 N 11th StKenilworth, NJ 07033-1519
Phone(551) 689-3615
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 9, 2024
Last NPPES UpdateOctober 11, 20252 updates tracked since enumeration
NPPES CertifiedOctober 11, 2025
✔ NPI 1477389310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NJ · 26NJ15441100
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR21080700 (NJ)
41 N 11TH ST, Kenilworth, NJ 07033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffannie Krystel Tan Duan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931663093
PECOS Enrollment IDI20260710000102
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 07033 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

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

JUSTIN DARYL A DUAN
Nurse Practitioner (Family)
41 N 11TH ST
KENILWORTH, NJ 07033
Union County (201) 673-4436

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 Jeffannie Krystel Duan's NPI number?

The NPI number for Jeffannie Krystel Duan is 1477389310. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Jeffannie Krystel Duan located?

Jeffannie Krystel Duan practices at 41 N 11th St, Kenilworth, NJ 07033. The listed phone number is (551) 689-3615.

What is Jeffannie Krystel Duan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Jeffannie Krystel Duan enrolled in Medicare?

Yes. Jeffannie Krystel Duan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffannie Krystel Duan was last updated on October 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.