JUNGWOOK JIN
NPI 1831612761
Nurse Practitioner - Family in Wheat Ridge, CO
About Jungwook Jin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUNGWOOK JIN (NPI 1831612761) is an individual family provider in Wheat Ridge, Colorado, licensed in Colorado (0996400) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jungwook Jin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jungwook Jin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
White Plains, NY 10601
- Reassigned Medicare billing, New York enrollment
- 445 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80033 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHEAT RIDGE, CO 80033
WHEAT RIDGE, CO 80033
WHEAT RIDGE, CO 80033
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 Jungwook Jin's NPI number?
The NPI number for Jungwook Jin is 1831612761. It was assigned to this individual provider in the NPPES registry on July 23, 2017.
Where is Jungwook Jin located?
Jungwook Jin practices at 3400 Youngfield St, Wheat Ridge, CO 80033. The listed phone number is (303) 459-5645.
What is Jungwook Jin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jungwook Jin enrolled in Medicare?
Yes. Jungwook Jin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jungwook Jin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jungwook Jin reassigns Medicare benefits to White Plains Physician Services PC (White Plains, NY). 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 Jungwook Jin'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 Jungwook Jin was last updated on February 15, 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.
# Jungwook Jin · NPI 1831612761
Family physician in Wheat Ridge, Colorado. Individual provider, active in the CMS NPPES registry since July 23, 2017.
## Identity
- **NPI:** 1831612761 (Entity type: Individual)
- **Enumerated:** July 23, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0996400 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 YOUNGFIELD ST, Wheat Ridge, CO 80033-5245
- **Phone:** (303) 459-5645
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** White Plains Physician Services PC (NPI 1124502687, White Plains, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1831612761) · Data from the CMS NPPES public registry.