JIYOUNG CHAE
NPI 1568845295
Nurse Practitioner - Primary Care in West Lafayette, IN

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906(765) 448-8000 Get Directions Write a Review

NPPES record last updated: September 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2016, Nov 10, 2015 (2 updates tracked since 2015).

About Jiyoung Chae NPPES

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

JIYOUNG CHAE (NPI 1568845295) is an individual primary care provider in West Lafayette, Indiana, licensed in Indiana (71005808A) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568845295
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJIYOUNG CHAE
Location Address253 SAGAMORE PKWY WWest Lafayette, IN 47906-1501
Mailing AddressPo Box 5777Maryville, TN 37802-5777 · (865) 246-2104 · Fax (865) 246-2106
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 30, 2015
Last NPPES UpdateSeptember 6, 20172 updates tracked since enumeration
NPI 1568845295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in IN · 71005808A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28193970A (IN)
253 SAGAMORE PKWY W, West Lafayette, IN 47906

Other Identifiers 4

Other000000964485IN · Anthem Provider Pin Number
Medicare PIN815500115IN
Medicaid201323610IN
Medicare PINP01671037IN

Accepted Insurance

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

Jiyoung Chae 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 ID4688982895
PECOS Enrollment IDI20171013003021
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 2

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
43 services43 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47906 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Nurse Practitioner (Pediatrics)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Physician Assistant
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Radiology (Vascular & Interventional Radiology)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Registered Nurse
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Radiology (Diagnostic Radiology)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Radiology (Diagnostic Radiology)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Family Medicine
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Nurse Practitioner (Pediatrics)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906

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 Jiyoung Chae's NPI number?

The NPI number for Jiyoung Chae is 1568845295. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Jiyoung Chae located?

Jiyoung Chae practices at 253 Sagamore Pkwy W, West Lafayette, IN 47906. The listed phone number is (765) 448-8000.

What is Jiyoung Chae's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jiyoung Chae enrolled in Medicare?

Yes. Jiyoung Chae 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.

What insurance does Jiyoung Chae accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Jiyoung Chae as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jiyoung Chae affiliated with any hospitals?

According to CMS data, Jiyoung Chae is affiliated with Blount Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jiyoung Chae was last updated on September 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.