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MISS JENNY WON SONG FNP
NPI 1710642301
Nurse Practitioner - Family in New York, NY

Active since November 08, 2021PECOS Enrolled
84.47/100
CMS Quality Rating
555 MADISON AVE FL 4, NEW YORK, NY 10022(646) 754-2000 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2021, Nov 8, 2021 (2 updates tracked since 2021).

About Miss Jenny Won Song Fnp NPPES

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

MISS JENNY WON SONG FNP (NPI 1710642301) is an individual family provider in New York, New York, licensed in New York (348140) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710642301
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS JENNY WON SONGCredential: FNP
Location Address555 MADISON AVE FL 4New York, NY 10022-3337
Mailing Address4545 Center Blvd Apt 1716Long Island City, NY 11109-5934
Phone(646) 754-2000
Sole ProprietorNo
Enumeration DateNovember 8, 2021
Last NPPES UpdateApril 25, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2022
✔ NPI 1710642301 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 · 348140
555 MADISON AVE FL 4, New York, NY 10022
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jenny Won Song Fnp 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 Reassignment

Medicare enrollment records show Jenny Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,040 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
238 services188 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services20 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 4

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

DR. MICHAEL JOEL COLIN
Internal Medicine (Rheumatology)
555 MADISON AVE FL 4
NEW YORK, NY 10022
New York County (646) 754-2000
MRS. HOPE R SIMPSON NP
Nurse Practitioner (Adult Health)
555 MADISON AVE FL 4
NEW YORK, NY 10022
New York County (817) 733-7731
DR. SAMUEL MENACHEM HARROSH O.D.
Optometrist
555 MADISON AVE FL 4
NEW YORK, NY 10022
New York County (646) 754-2000
MANDANA MAHMOUDI
Internal Medicine (Pulmonary Disease)
555 MADISON AVE FL 4
NEW YORK, NY 10022
New York County (646) 754-2000

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 Song's NPI number?

The NPI number for Jenny Song is 1710642301. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Where is Jenny Song located?

Jenny Song practices at 555 Madison Ave Fl 4, New York, NY 10022. The listed phone number is (646) 754-2000.

What is Jenny Song's specialty?

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

Is Jenny Song enrolled in Medicare?

Yes. Jenny Song is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenny Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Song reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Song'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 Song was last updated on April 25, 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.