MS. JEANNIE SHEN (MD) – Surgical Oncology Physician, NPI 1609969211

MS. JEANNIE SHEN (MD) is a healthcare provider. based in Pasadena, California. specializing in GENERAL SURGERY, SURGICAL ONCOLOGY. They hold the professional credentials MD. They hold a License No. A70643 (CA). The NPI Number for MS. JEANNIE SHEN (MD) is 1609969211

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MS. JEANNIE SHEN (MD)
NPI
1609969211
Phone
(626) 356-3167
Address
625 S FAIR OAKS AVE
Enumeration Date
2 October 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
4243147695
Graduation Year
1998 (28 years ago)
PAC ID
3476443045
Group Practice PAC ID
0941106645
Professional Enrollment ID
I20040913001374
Address ID
CA911052640PA625XXAVEX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,317 GENERAL SURGERY in CA

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Provider Addresses for MS. JEANNIE SHEN (MD)

  • 625, South Fair Oaks Avenue, Pasadena, Los Angeles County, California, 91105, United States

    SUITE 300

    PASADENA, CA 911052613

    Phone: (626) 356-3167

    Fax: (626) 356-9190

    Type: Mailing

  • 4140 W 190TH ST

    TORRANCE, CA 905045513

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($90).

Total Amount

$90

General + Research + Ownership

Payments

3

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$90
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: 2004-09-13

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
I20040913001374ISurgical OncologyCATBD

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
19301Partial removal of breast7560$0
99205New patient office or other outpatient visit, 60-74 minutes6060$0
38900Imaging of lymph nodes during surgery3333$0
99213Established patient office or other outpatient visit, 20-29 minutes2923$0
38525Biopsy or removal of deep lymph nodes of underarm2727$0
View full utilization report →

Insurance plans in this area (ZIP 91105)

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Provider's Procedures

MS. JEANNIE SHEN (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYCA38900Lymph node imaging during surgery3535

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: 0941106645View full group profile
NameSpecialtyState
P A T H O L O G YNY
-CA
-CA
-CA
H O S P I T A L I S TCA
Plastic And Reconstructive SurgeryCA
O P H T H A L M O L O G YCA
Physical Therapist In Private PracticeCA
Hospitalist, Internal MedicineCA
Physician AssistantCA

Reviews

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Frequently asked questions

What unique ID ties claims to MS. JEANNIE SHEN (MD)?
NPI 1609969211 is assigned to MS. JEANNIE SHEN (MD) under the national enumeration system.
Does this profile mean MS. JEANNIE SHEN (MD) is currently active?
Yes — MS. JEANNIE SHEN (MD) appears active in the national provider directory.
What field does MS. JEANNIE SHEN (MD) work in?
You can think of MS. JEANNIE SHEN (MD) as practicing within Surgical Oncology Physician. Clinical services aligned with this taxonomy classification.
What location shows for MS. JEANNIE SHEN (MD)?
We surface Pasadena, California for MS. JEANNIE SHEN (MD) based on available NPPES addresses.
Is MS. JEANNIE SHEN (MD) a real provider?
This page reflects official NPPES data for NPI 1609969211. Always confirm identity and privileges with the practice and licensing boards.

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