DR. JESSICA HWEI-JAY FAN MD
NPI 1619407707
Psychiatry & Neurology - Neurology in Oakland, CA

Active since June 12, 2017PECOS EnrolledAccepts Medicare Assignment
3701 BROADWAY FL 1, OAKLAND, CA 94611(510) 752-6509 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 31, 2022, Aug 20, 2021, Apr 21, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Jessica Hwei-jay Fan Md NPPES

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

DR. JESSICA HWEI-JAY FAN MD (NPI 1619407707) is an individual neurology provider in Oakland, California, licensed in California (A171710) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2017).

NPPES Registry Identity

NPI1619407707
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JESSICA HWEI-JAY FANCredential: MD
Location Address3701 BROADWAY FL 1Oakland, CA 94611-5613
Mailing Address3701 Broadway Fl 1Oakland, CA 94611-5613 · (510) 752-6509
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2017
Enumeration DateJune 12, 2017
Last NPPES UpdateAugust 31, 20224 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
NPI 1619407707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in CA · A171710
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3701 BROADWAY FL 1, Oakland, CA 94611

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

Dr. Jessica Hwei-jay Fan Md 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 ID2769754829
PECOS Enrollment IDI20210726003452
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 94611 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 4

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

Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
3701 BROADWAY FL 1
OAKLAND, CA 94611
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
3701 BROADWAY FL 1
OAKLAND, CA 94611
Psychiatry & Neurology (Neurology)
3701 BROADWAY FL 1
OAKLAND, CA 94611
Pharmacy (Community/Retail Pharmacy)
3701 BROADWAY FL 1
OAKLAND, CA 94611

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 Jessica Fan's NPI number?

The NPI number for Jessica Fan is 1619407707. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Where is Jessica Fan located?

Jessica Fan practices at 3701 Broadway Fl 1, Oakland, CA 94611. The listed phone number is (510) 752-6509.

What is Jessica Fan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jessica Fan enrolled in Medicare?

Yes. Jessica Fan 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 Jessica Fan was last updated on August 31, 2022. 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.