SHU MEI JESSIE CHANG DDS
NPI 1689836538
Dentist - Orthodontics and Dentofacial Orthopedics in Paoli, PA

Active since July 01, 2008Opted out of Medicare · through Oct 2, 2027
1776 LANCASTER AVE STE 15, PAOLI, PA 19301(610) 904-9005 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shu Mei Jessie Chang Dds NPPES

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

SHU MEI JESSIE CHANG DDS (NPI 1689836538) is an individual orthodontics and dentofacial orthopedics provider in Paoli, Pennsylvania, licensed in California (56955) and active in the NPI registry since July 2008. She has opted out of Medicare through October 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689836538
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameSHU MEI JESSIE CHANGCredential: DDS
Location Address1776 LANCASTER AVE STE 15Paoli, PA 19301-1550
Mailing Address1776 Lancaster Ave Ste 15Paoli, PA 19301-1550 · (610) 904-9005
Sole ProprietorNo
Enumeration DateJuly 1, 2008
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
NPI 1689836538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 56955
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1776 LANCASTER AVE STE 15, Paoli, PA 19301

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Shu Mei Jessie Chang Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 2, 2015 through October 2, 2027.

Opt-Out Effective DateOctober 2, 2015
Opt-Out In Effect ThroughOctober 2, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19301 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1776 LANCASTER AVE STE 15
PAOLI, PA 19301

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 Shu Mei Jessie Chang's NPI number?

The NPI number for Shu Mei Jessie Chang is 1689836538. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Shu Mei Jessie Chang located?

Shu Mei Jessie Chang practices at 1776 Lancaster Ave Ste 15, Paoli, PA 19301. The listed phone number is (610) 904-9005.

What is Shu Mei Jessie Chang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Shu Mei Jessie Chang enrolled in Medicare?

No. Shu Mei Jessie Chang has opted out of Medicare through October 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shu Mei Jessie Chang was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.