JAKYUNG JUNG – Family Nurse Practitioner, NPI 1164043139

JAKYUNG JUNG is a healthcare provider. based in Fresh meadows, New York. specializing in NURSE PRACTITIONER. They hold a License No. F345836 (NY). The NPI Number for JAKYUNG JUNG is 1164043139

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JAKYUNG JUNG
NPI
1164043139
Phone
(917) 387-5478
Address
6748 181ST ST
Enumeration Date
30 April 2020
Last Update Date
30 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7184340711
Graduation Year
2020 (6 years ago)
PAC ID
0749602431
Group Practice PAC ID
2062305030
Professional Enrollment ID
I20200625002607
Address ID
NY112101537BR3007XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

17,004 NURSE PRACTITIONER in NY

Provider Addresses for JAKYUNG JUNG

  • 6748 181ST ST

    FRESH MEADOWS, NY 113653518

    Phone: (917) 387-5478

    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 5 Open Payments records for all available years, with a total value of $109.

Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($109).

Total Amount

$109

General + Research + Ownership

Payments

5

Total payment records

General Amount

$109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

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: 2020-06-25

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
I20200625002607INurse PractitionerNYTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2,932233$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes29898$0
99316Nursing facility discharge management, more than 30 minutes2222$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1714$0
View full utilization report →

Insurance plans in this area (ZIP 11365)

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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: 2062305030View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
-NY
Nurse PractitionerFL
Gastroenterology, Internal MedicineNY
O B S T E T R I C S/ G Y N E C O L O G YNY
O P T O M E T R YTX
Nephrology, Internal MedicineNY
Cardiovascular Disease (Cardiology), Internal MedicineNY
P O D I A T R YNY
O B S T E T R I C S/ G Y N E C O L O G YNY

Reviews

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Frequently asked questions

What NPI should I save for JAKYUNG JUNG?
Save NPI 1164043139 if you need a stable reference for JAKYUNG JUNG.
Does this profile mean JAKYUNG JUNG is currently active?
Yes — JAKYUNG JUNG appears active in the national provider directory.
What field does JAKYUNG JUNG work in?
You can think of JAKYUNG JUNG as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place JAKYUNG JUNG?
The snapshot lists Fresh Meadows, New York for JAKYUNG JUNG; download NPPES for the complete set.
How can I contact JAKYUNG JUNG?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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