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JESSICA CHAN
NPI 1669957775
Nurse Practitioner - Acute Care in New York, NY

Active since September 25, 2018PECOS Enrolled
79.03/100
CMS Quality Rating
1468 MADISON AVE, NEW YORK, NY 10029(212) 241-6500 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Chan NPPES

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

JESSICA CHAN (NPI 1669957775) is an individual acute care provider in New York, New York, licensed in New York (F431339) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669957775
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJESSICA CHAN
Location Address1468 MADISON AVENew York, NY 10029-6508
Mailing Address1468 Madison AveNew York, NY 10029-6508
Phone(212) 241-6500
Sole ProprietorNo
Enumeration DateSeptember 25, 2018
✔ NPI 1669957775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · F431339
1468 MADISON AVE, New York, NY 10029
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Chan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.44
Improvement Activities40

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.

JA'NET RUSSELL
Nurse Practitioner
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
FRANCESCA YI MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-8578
DR. ELENI VASILEIOU MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (443) 248-8436
SRILAKSHMI GARIKAPATI
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MARY OSMAN THERAPY LLC
Counselor (Mental Health)
1468 MADISON AVE
NEW YORK, NY 10029
New York County (973) 298-0929
GIORGIA IANNETTI PA-C
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MISS SAMANTHA LUCILLE BURAGAS PA-C
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
CAM THAI
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500

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 Chan's NPI number?

The NPI number for Jessica Chan is 1669957775. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Jessica Chan located?

Jessica Chan practices at 1468 Madison Ave, New York, NY 10029. The listed phone number is (212) 241-6500.

What is Jessica Chan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jessica Chan enrolled in Medicare?

Yes. Jessica Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Chan was last updated on September 25, 2018. 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.