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JEANNIE YANG CHUN M.D.
NPI 1639128499
Surgery - Pediatric Surgery in Portland, OR

Active since May 09, 2006PECOS Enrolled
9427 SW BARNES RD STE 395, PORTLAND, OR 97225(503) 216-6050 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 19, 2021, Dec 24, 2019 (2 updates tracked since 2019).

About Jeannie Yang Chun M.d. NPPES

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

JEANNIE YANG CHUN M.D. (NPI 1639128499) is an individual pediatric surgery provider in Portland, Oregon, licensed in Oregon (MD177023) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1639128499
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameJEANNIE YANG CHUNCredential: M.D.
Location Address9427 SW BARNES RD STE 395Portland, OR 97225-6652
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 216-6050
Sole ProprietorNo
Enumeration DateMay 9, 2006
Last NPPES UpdateFebruary 19, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
✔ NPI 1639128499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in OR · MD177023✔ Licensed in KY · 42458
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
9427 SW BARNES RD STE 395, Portland, OR 97225
Open in Google Maps ↗

Secondary Practice Location 1

Location 1315 E Broadway, Suite 565Louisville, KY 40202-3700 · Phone (502) 629-8630

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeannie Yang Chun M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jeannie Chun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Oregon
Same address
Pediatrics
9427 SW BARNES RD, SUITE 598
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1033299458 (503) 216-8654
Providence Health & Services - Oregon
0.1 mi
General Acute Care Hospital
9205 SW BARNES RD
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
NPI 1114015971 (503) 451-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TYSON DEE PAYNE PAYNE PSYD
Psychologist (Clinical)
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 216-6550
VICTORIA EUGENIE JANSEN RD
Dietitian, Registered
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 216-6050
MISS NICOLE ASHLEIGH DALTON PSYD
Psychologist (Clinical)
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 216-6550
ANGELA ELAINE SANTIAGO LENNON MD
Pediatrics (Pediatric Endocrinology)
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 216-6050
GILLIAN C ROSICKY
Nurse Practitioner (Family)
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 216-6550
PROVIDENCE HEALTH & SERVICES - OREGON
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 216-1280
AUSTIN D LAYTON DO
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 216-6050
MR. RENJITH RADHAKRISHNAN NAIR AGACNP
Nurse Practitioner (Acute Care)
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 962-1000

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 Jeannie Chun's NPI number?

The NPI number for Jeannie Chun is 1639128499. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Jeannie Chun located?

Jeannie Chun practices at 9427 SW Barnes Rd Ste 395, Portland, OR 97225. The listed phone number is (503) 216-6050.

What is Jeannie Chun's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Jeannie Chun enrolled in Medicare?

Yes. Jeannie Chun is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeannie Chun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeannie Chun reassigns Medicare benefits to 2 organizations: Providence Health & Services - Oregon (Portland, OR) and Providence Health & Services - Oregon (Portland, OR). Each 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 Jeannie Chun'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 Jeannie Chun was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.