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JEONG YEON SHIN FNP
NPI 1487010658
Nurse Practitioner in Orange, CA

Active since January 04, 2016PECOS EnrolledAccepts Medicare Assignment
333 CITY BLVD W, SUITE 1600, ORANGE, CA 92868(714) 456-6262 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeong Yeon Shin Fnp NPPES

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

JEONG YEON SHIN FNP (NPI 1487010658) is an individual nurse practitioner in Orange, California, licensed in California (95003390) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1487010658
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJEONG YEON SHINCredential: FNP
Location Address333 CITY BLVD W, SUITE 1600Orange, CA 92868-2903
Mailing Address333 City Blvd W, Suite 1600Orange, CA 92868-2903 · (714) 456-6262
Phone(714) 456-6262
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 4, 2016
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1487010658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95003390
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95003390 (CA)
333 CITY BLVD W, Orange, CA 92868
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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 and accepts Medicare assignment

Jeong Yeon Shin Fnp 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 ID7911200886
PECOS Enrollment IDI20160127000688
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services38 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services28 patients
Removal of tunneled central venous tube 36589
A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

RAYMOND CHOU M.D.
Student in an Organized Health Care Education/Training Program
333 CITY BLVD W, 1600
ORANGE, CA 92868
Orange County (714) 456-5532
MELANIE MARS N.P.
Nurse Practitioner (Family)
333 CITY BLVD W, SUITE 640
ORANGE, CA 92868
Orange County (714) 456-5239
DR. FIYINFOLUWA KOLAWOLE ANI M.D.
Anesthesiology
333 CITY BLVD W, SUITE 2150
ORANGE, CA 92868
Orange County (714) 456-5501
DR. ERIC JAMES KUNCIR M.D.
Surgery
333 CITY BLVD W, SUITE 1600
ORANGE, CA 92868
Orange County (714) 456-5890
DR. RACHEL ANNE PERRY M.D.
Obstetrics & Gynecology
333 CITY BLVD W, SUITE 1400
ORANGE, CA 92868
Orange County (714) 456-6853
MANSI MUKESH KOTHARI M.D.
Internal Medicine
333 CITY BLVD W, SUITE 400
ORANGE, CA 92868
Orange County (714) 456-6745
NEIL SHAH M.D.
Anesthesiology
333 CITY BLVD W, SUITE 2150
ORANGE, CA 92868
Orange County (714) 456-6661
DR. RAMY MAGDI SIDHOM M.D.
Internal Medicine
333 CITY BLVD W, SUITE 400
ORANGE, CA 92868
Orange County (714) 456-8874

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 Jeong Yeon Shin's NPI number?

The NPI number for Jeong Yeon Shin is 1487010658. It was assigned to this individual provider in the NPPES registry on January 4, 2016.

Where is Jeong Yeon Shin located?

Jeong Yeon Shin practices at 333 City Blvd W Suite 1600, Orange, CA 92868. The listed phone number is (714) 456-6262.

What is Jeong Yeon Shin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jeong Yeon Shin enrolled in Medicare?

Yes. Jeong Yeon Shin 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 Jeong Yeon Shin was last updated on January 17, 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.