JENNIFER X DUAN
NPI 1548729692
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 18, 2019Opted out of Medicare · through Jul 25, 2027
1740 W TAYLOR ST, CHICAGO, IL 60612(866) 600-2273 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer X Duan NPPES

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

JENNIFER X DUAN (NPI 1548729692) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2019. She has opted out of Medicare through July 25, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1548729692
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER X DUAN
Location Address1740 W TAYLOR STChicago, IL 60612-7232
Mailing Address5114 Medical Dr Apt 2309San Antonio, TX 78229-3875 · (918) 876-2579
Sole ProprietorNo
Enumeration DateMarch 18, 2019
NPI 1548729692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1740 W TAYLOR ST, Chicago, IL 60612

Other Names 1

Former Name (1)Xinyue Duan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jennifer X Duan has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 25, 2023 through July 25, 2027.

Opt-Out Effective DateJuly 25, 2023
Opt-Out In Effect ThroughJuly 25, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Occupational Therapist
1740 W TAYLOR ST, C100
CHICAGO, IL 60612
Physician Assistant (Surgical)
1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1740 W TAYLOR ST
CHICAGO, IL 60612
Anesthesiology
1740 W TAYLOR ST
CHICAGO, IL 60612
Pediatrics (Neonatal-Perinatal Medicine)
1740 W TAYLOR ST
CHICAGO, IL 60612
Family Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Ophthalmology
1740 W TAYLOR ST
CHICAGO, IL 60612
Emergency Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612

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 Jennifer Duan's NPI number?

The NPI number for Jennifer Duan is 1548729692. It was assigned to this individual provider in the NPPES registry on March 18, 2019. The provider is also known as Xinyue Duan.

Where is Jennifer Duan located?

Jennifer Duan practices at 1740 W Taylor St, Chicago, IL 60612. The listed phone number is (866) 600-2273.

What is Jennifer Duan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Duan enrolled in Medicare?

No. Jennifer Duan has opted out of Medicare through July 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennifer Duan was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.