JACKIE YANG (NP) – Home Health Registered Nurse, NPI 1235506247

JACKIE YANG (NP) is a healthcare provider. based in Saint paul, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 6627 (MN). The NPI Number for JACKIE YANG (NP) is 1235506247

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JACKIE YANG (NP)
NPI
1235506247
Phone
(651) 771-2420
Address
635 IVY AVE E
Enumeration Date
25 August 2015
Last Update Date
29 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516034565
Graduation Year
2016 (10 years ago)
PAC ID
4789016577
Group Practice PAC ID
6305278797
Professional Enrollment ID
I20191116000032
Address ID
MN553871014WA212XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for JACKIE YANG (NP)

  • 635 IVY AVE E

    SAINT PAUL, MN 551303422

    Phone: (651) 771-2420

    Fax: (651) 771-2421

    Type: Mailing

  • 546 S ELM ST

    WACONIA, MN 553871814

    Phone: (651) 603-4565

    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: 2023-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191116000032INurse PractitionerMNTBD
I20230505000889INurse PractitionerWITBD

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
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month711110$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month375111$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes32487$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes11681$0
99489Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month5113$0
View full utilization report →

Insurance plans in this area (ZIP 55130)

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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: 6305278797View full group profile
NameSpecialtyState
Nurse PractitionerMN
Emergency MedicineMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Family PracticeMN
Nurse PractitionerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Is JACKIE YANG (NP) listed with a National Provider Identifier?
Yes — JACKIE YANG (NP) has NPI 1235506247 on file in the registry.
Active or inactive — what applies to JACKIE YANG (NP)?
You should see JACKIE YANG (NP) as active in CMS-hosted NPPES data.
What area of care is associated with JACKIE YANG (NP)?
JACKIE YANG (NP)'s record emphasizes Home Health Registered Nurse. Clinical services aligned with this taxonomy classification.
What locale is associated with JACKIE YANG (NP)?
Directory geography for JACKIE YANG (NP) centers on Saint Paul, Minnesota.
When was this NPI issued?
Enumeration for JACKIE YANG (NP) is noted as August 25, 2015 where the registry provides it.

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