JI YEON KWON NP
NPI 1912492216
Nurse Practitioner in Madera, CA
About Ji Yeon Kwon Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JI YEON KWON NP (NPI 1912492216) is an individual nurse practitioner in Madera, California, licensed in California (95009482) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
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
Ji Yeon Kwon Np 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 Ji Kwon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pleasanton, CA 94588
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 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 93636 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ji Kwon's NPI number?
The NPI number for Ji Kwon is 1912492216. It was assigned to this individual provider in the NPPES registry on June 28, 2018.
Where is Ji Kwon located?
Ji Kwon practices at 9300 Valley Childrens Pl # Ge07, Madera, CA 93636. The listed phone number is (559) 353-6277.
What is Ji Kwon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Ji Kwon enrolled in Medicare?
Yes. Ji Kwon 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 Ji Kwon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ji Kwon reassigns Medicare benefits to 2 organizations: Stanford Health Care (Pleasanton, CA) and Lpch Medical Group Div Of Lucile (Palo Alto, 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 Ji Kwon'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 Ji Kwon was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ji Yeon Kwon, NP · NPI 1912492216
Nurse Practitioner physician in Madera, California. Individual provider, active in the CMS NPPES registry since June 28, 2018.
## Identity
- **NPI:** 1912492216 (Entity type: Individual)
- **Enumerated:** June 28, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95009482 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9300 VALLEY CHILDRENS PL # GE07, Madera, CA 93636
- **Phone:** (559) 353-6277 · **Fax:** (559) 353-7195
## 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): Stanford Health Care (NPI 1124561758, Pleasanton, CA); Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 30, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1912492216) · Data from the CMS NPPES public registry.