JENNIFER DIANE KHAN NP
NPI 1679090187
Nurse Practitioner - Family in Johnson City, NY

Q: What is Jennifer Khan's NPI number?

The NPI number for Jennifer Khan is 1679090187. It was assigned to this individual provider in the NPPES registry on August 25, 2017. The provider is also known as Jennifer Diane Lake.

Q: What is Jennifer Khan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Khan was last updated on August 7, 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.

Active since August 25, 2017PECOS Enrolled

33-57 HARRISON ST, JOHNSON CITY, NY 13790(607) 763-6638 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2023, Aug 25, 2017 (2 updates tracked since 2017).

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About Jennifer Diane Khan Np NPPES

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

JENNIFER DIANE KHAN NP (NPI 1679090187) is an individual family provider in Johnson City, New York, licensed in New York (341927) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1679090187

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER DIANE KHANCredential: NP

Location Address33-57 HARRISON STJohnson City, NY 13790-2107

Mailing Address26 Johnson AveBinghamton, NY 13905-4341 · (607) 206-3147

Phone(607) 763-6638

Sole ProprietorNo

Enumeration DateAugust 25, 2017

Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration

NPPES CertifiedAugust 7, 2023

✔ NPI 1679090187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 341927

33-57 HARRISON ST, Johnson City, NY 13790

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Other Names 1

Former Name (1)Jennifer Diane Lake

Secondary Practice Location 1

Location 152 Harrison StJohnson City, NY 13790-2120 · Phone (607) 729-8845

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Diane Khan Np 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 13790 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

1 supplier11 claims11 services$906.26 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

1 supplier16 claims16 services$836.34 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TASNIMA RIA ELAHI MD

Hospitalist