JAEKYUNG JACEY CHO ARNP
NPI 1548997612
Nurse Practitioner - Family in Portage, IN
About Jaekyung Jacey Cho Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAEKYUNG JACEY CHO ARNP (NPI 1548997612) is an individual family provider in Portage, Indiana, licensed in Indiana (71012901A) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Michigan City, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Jaekyung Jacey Cho Arnp 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 Jaekyung Cho reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mishawaka, IN 46544
- Reassigned Medicare billing, Indiana enrollment
- 1,396 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 46368 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 6
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 Jaekyung Cho's NPI number?
The NPI number for Jaekyung Cho is 1548997612. It was assigned to this individual provider in the NPPES registry on August 8, 2022.
Where is Jaekyung Cho located?
Jaekyung Cho practices at 3283 Willowcreek Rd, Portage, IN 46368. The listed phone number is (219) 764-8439.
What is Jaekyung Cho's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaekyung Cho enrolled in Medicare?
Yes. Jaekyung Cho 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 Jaekyung Cho's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaekyung Cho reassigns Medicare benefits to Franciscan Physician Network (Mishawaka, IN). 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 Jaekyung Cho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jaekyung Cho was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jaekyung Jacey Cho, ARNP · NPI 1548997612
Family physician in Portage, Indiana. Individual provider, active in the CMS NPPES registry since August 8, 2022.
## Identity
- **NPI:** 1548997612 (Entity type: Individual)
- **Enumerated:** August 8, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71012901A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3283 WILLOWCREEK RD, Portage, IN 46368-5054
- **Phone:** (219) 764-8439 · **Fax:** (219) 794-8463
## 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:** Franciscan Physician Network (NPI 1366879009, Mishawaka, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1548997612) · Data from the CMS NPPES public registry.