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JESSICA HSU
NPI 1922632843
Dentist - Periodontics in Kirkland, WA

Active since February 29, 2020Opted out of Medicare · through Jul 13, 2027
625 4TH AVE STE 201, KIRKLAND, WA 98033(281) 731-3733 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2020, Feb 29, 2020 (2 updates tracked since 2020).

About Jessica Hsu NPPES

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

JESSICA HSU (NPI 1922632843) is an individual periodontics provider in Kirkland, Washington, licensed in Washington (DE61017009) and active in the NPI registry since February 2020. She has opted out of Medicare through July 13, 2027.

NPPES Registry Identity

NPI1922632843
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameJESSICA HSU
Location Address625 4TH AVE STE 201Kirkland, WA 98033-9028
Mailing Address625 4th Ave Ste 201Kirkland, WA 98033-9028
Phone(281) 731-3733
Sole ProprietorYes
Enumeration DateFebruary 29, 2020
Last NPPES UpdateAugust 14, 20202 updates tracked since enumeration
NPPES CertifiedAugust 14, 2020
✔ NPI 1922632843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in WA · DE61017009
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
625 4TH AVE STE 201, Kirkland, WA 98033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Hsu 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 July 13, 2021 through July 13, 2027.

Opt-Out Effective DateJuly 13, 2021
Opt-Out In Effect ThroughJuly 13, 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 98033 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 2

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

JESSICA C HSU DDS PLLC
Dentist (Periodontics)
625 4TH AVE STE 201
KIRKLAND, WA 98033
King County (425) 658-0850
JESSICA C HSU DDS PLLC
Dentist (Periodontics)
625 4TH AVE STE 201
KIRKLAND, WA 98033
King County (425) 658-0850

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 Jessica Hsu's NPI number?

The NPI number for Jessica Hsu is 1922632843. It was assigned to this individual provider in the NPPES registry on February 29, 2020.

Where is Jessica Hsu located?

Jessica Hsu practices at 625 4th Ave Ste 201, Kirkland, WA 98033. The listed phone number is (281) 731-3733.

What is Jessica Hsu's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jessica Hsu enrolled in Medicare?

No. Jessica Hsu has opted out of Medicare through July 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Hsu was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.