JESSICA IVY CHANG – Internal Medicine Physician, NPI 1285089441

JESSICA IVY CHANG is a healthcare provider. based in Sierra vista, Arizona. specializing in INTERNAL MEDICINE. They hold a License No. 007945 (AZ). The NPI Number for JESSICA IVY CHANG is 1285089441

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA IVY CHANG
NPI
1285089441
Phone
(520) 263-2000
Address
5700 E HIGHWAY 90
Enumeration Date
25 April 2016
Last Update Date
24 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5204174594
Graduation Year
2016 (10 years ago)
PAC ID
0840525259
Group Practice PAC ID
0648441006
Professional Enrollment ID
I20190708001878
Address ID
AZ856359110SI5700X90XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,585 INTERNAL MEDICINE in AZ

Provider Addresses for JESSICA IVY CHANG

  • 5700 E HIGHWAY 90

    SIERRA VISTA, AZ 856359110

    Phone: (520) 263-2000

    Type: Location

  • 1178, Chisolm Trail Drive, Diamond Bar, Los Angeles County, California, 91765, United States

    DIAMOND BAR, CA 917654146

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190708001878IInternal MedicineAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes315295$0
99497Advance care planning, first 30 minutes9494$0
99291Critical care, first 30-74 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 85635)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648441006View full group profile
NameSpecialtyState
Internal MedicineAZ
Critical Care (Intensivists), Internal Medicine, Hospitalist, Pulmonary DiseaseCA
Internal MedicineNY
-KY
Internal Medicine, HospitalistAZ
Nurse PractitionerAZ
Nurse PractitionerNM
-AZ
Nurse PractitionerAZ
-AZ

Reviews

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Frequently asked questions

Does JESSICA IVY CHANG have a public NPI I can cite?
Public records show JESSICA IVY CHANG under NPI 1285089441.
Should I treat JESSICA IVY CHANG as an active provider?
Patients and plans typically see JESSICA IVY CHANG as active in the national extract.
What type of care does JESSICA IVY CHANG provide?
JESSICA IVY CHANG's profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to JESSICA IVY CHANG?
The directory associates JESSICA IVY CHANG with Sierra Vista, Arizona. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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