LEYUAN JACK CHEN (M.D.) – Emergency Medicine Physician, NPI 1053766303

LEYUAN JACK CHEN (M.D.) is a healthcare provider. based in Lincoln, Nebraska. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. BP10055775 (TX). The NPI Number for LEYUAN JACK CHEN (M.D.) is 1053766303

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
LEYUAN JACK CHEN (M.D.)
NPI
1053766303
Phone
(402) 219-8747
Address
555 S 70TH ST
Enumeration Date
24 April 2016
Last Update Date
15 October 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
260724214511031
Graduation Year
2016 (10 years ago)
PAC ID
5193019073
Group Practice PAC ID
0941198253
Professional Enrollment ID
I20200417002200
Address ID
IN467331893DE514XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:10State licenses:3Digital endpointsOther names

238 EMERGENCY MEDICINE in NE

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Provider Addresses for LEYUAN JACK CHEN (M.D.)

  • CHI Health Saint Elizabeth, 555, South 70th Street, Lincoln, Lancaster County, Nebraska, 68503, United States

    LINCOLN, NE 685102462

    Phone: (402) 219-8747

    Type: Mailing

  • 1100 MERCER AVE

    DECATUR, IN 467332303

    Phone: (260) 724-2145

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $232.

Total Amount is formed as General ($232) + Research ($0) + Ownership ($0) = $232.

Last reported payment date: 2024-02-07 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($125).

Total Amount

$232

General + Research + Ownership

Payments

2

Total payment records

General Amount

$232

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-07

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: 2020-04-17

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
I20200417002200IEmergency MedicineINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68510)

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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: 0941198253View full group profile
NameSpecialtyState
-IN
-IN
Mental Health CounselorIN
Family PracticeIN
Mental Health CounselorIN
Clinical Social WorkerIN
Physician AssistantIN
O B S T E T R I C S/ G Y N E C O L O G YOH
Family PracticeIN
-IN

Reviews

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Frequently asked questions

What is LEYUAN JACK CHEN (M.D.)'s NPI number?
LEYUAN JACK CHEN (M.D.)'s NPI is 1053766303 — the number used across U.S. healthcare to identify this provider.
Would LEYUAN JACK CHEN (M.D.) appear as active to a payer?
You can treat LEYUAN JACK CHEN (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe LEYUAN JACK CHEN (M.D.)'s focus?
For LEYUAN JACK CHEN (M.D.), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Nebraska is LEYUAN JACK CHEN (M.D.) registered?
Use Lincoln, Nebraska as the headline location for LEYUAN JACK CHEN (M.D.) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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