JENNIFER N/A LUONG (NP) – Family Nurse Practitioner, NPI 1235897190

JENNIFER N/A LUONG (NP) is a healthcare provider. based in Tustin, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 95019306 (CA). The NPI Number for JENNIFER N/A LUONG (NP) is 1235897190

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER N/A LUONG (NP)
NPI
1235897190
Phone
(714) 628-9342
Address
1422 EDINGER AVE STE 130
Enumeration Date
7 December 2021
Last Update Date
6 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009855596
Graduation Year
2021 (5 years ago)
PAC ID
3072905579
Group Practice PAC ID
6002205606
Professional Enrollment ID
I20220112002931
Address ID
CA902454810EL507XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

16,538 NURSE PRACTITIONER in CA

Provider Addresses for JENNIFER N/A LUONG (NP)

  • 1422 EDINGER AVE STE 130

    TUSTIN, CA 927806298

    Phone: (714) 628-9342

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 192 Open Payments records for all available years, with a total value of $4,148.

Total Amount is formed as General ($4,148) + Research ($0) + Ownership ($0) = $4,148.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($591).

Total Amount

$4,148

General + Research + Ownership

Payments

192

Total payment records

General Amount

$4,148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-01-12

PECOS data refreshed: 2026-06-15

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
I20220112002931INurse PractitionerCATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes9162$0
View full utilization report →

Insurance plans in this area (ZIP 92780)

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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: 6002205606View full group profile
NameSpecialtyState
Emergency MedicineMO
Nurse PractitionerCA
Nurse PractitionerCA
N E U R O L O G YTX
Nurse PractitionerCA
Nurse PractitionerCA
Emergency MedicineNV
Nurse PractitionerIL
Nurse PractitionerCT
Nurse PractitionerTN

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER N/A LUONG (NP) for billing?
Administrative and clinical systems typically use NPI 1235897190 for JENNIFER N/A LUONG (NP).
Should I treat JENNIFER N/A LUONG (NP) as an active provider?
Patients and plans typically see JENNIFER N/A LUONG (NP) as active in the national extract.
Which specialty label fits JENNIFER N/A LUONG (NP)?
NPPES ties JENNIFER N/A LUONG (NP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit JENNIFER N/A LUONG (NP) in Tustin, California?
For routing, start with Tustin, California for JENNIFER N/A LUONG (NP), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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