JENNY JEYOUNG MO
NPI 1679242960
Nurse Practitioner - Acute Care in Fullerton, CA
About Jenny Jeyoung Mo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNY JEYOUNG MO (NPI 1679242960) is an individual acute care provider in Fullerton, California, licensed in California (95015642) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jenny Jeyoung Mo 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jenny Mo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Alamitos, CA 90720
- Reassigned Medicare billing, California enrollment
- 228 clinicians in this Medicare group
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
- 2,052 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92833 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FULLERTON, CA 92833
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 Jenny Mo's NPI number?
The NPI number for Jenny Mo is 1679242960. It was assigned to this individual provider in the NPPES registry on September 9, 2021. The provider is also known as Jeyoung Kim Agacnp-Bc.
Where is Jenny Mo located?
Jenny Mo practices at 1501 W Commonwealth Ave, Fullerton, CA 92833. The listed phone number is (714) 410-3100.
What is Jenny Mo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jenny Mo enrolled in Medicare?
Yes. Jenny Mo 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.
Which organizations bill Medicare for Jenny Mo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Mo reassigns Medicare benefits to 2 organizations: Centers For Family Medicine Gp (Los Alamitos, CA) and Healthcare Partners Affiliates Medical Group (Tustin, CA). 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 Jenny Mo'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 Jenny Mo was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Jenny Jeyoung Mo · NPI 1679242960
Acute Care physician in Fullerton, California. Individual provider, active in the CMS NPPES registry since September 9, 2021.
## Identity
- **NPI:** 1679242960 (Entity type: Individual)
- **Enumerated:** September 9, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95015642 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1501 W COMMONWEALTH AVE, Fullerton, CA 92833-2727
- **Phone:** (714) 410-3100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Centers For Family Medicine Gp (NPI 1467598243, Los Alamitos, CA); Healthcare Partners Affiliates Medical Group (NPI 1891981502, Tustin, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679242960) · Data from the CMS NPPES public registry.