JESSE CHO – Psychiatric/Mental Health Nurse Practitioner, NPI 1104561398

JESSE CHO is a healthcare provider. based in Vancouver, Washington. specializing in NURSE PRACTITIONER. They hold a License No. AP61373120 (WA). The NPI Number for JESSE CHO is 1104561398

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JESSE CHO
NPI
1104561398
Phone
(360) 397-8228
Address
7700 NE 26th Ave
Enumeration Date
2 May 2022
Last Update Date
29 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605753314
Graduation Year
2022 (4 years ago)
PAC ID
0648798819
Group Practice PAC ID
8820030133
Professional Enrollment ID
I20250520005078
Address ID
WA986322544LO900XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

Provider Addresses for JESSE CHO

  • 7700 NE 26th Ave

    Vancouver, WA 986650672

    Phone: (360) 397-8228

    Fax: (360) 397-8251

    Type: Location

  • 9 VICOLO LOREN

    HENDERSON, NV 890113193

    Phone:

    Type: Mailing

  • PO BOX 2429

    LONGVIEW, WA 986328486

    Phone: (360) 353-9431

    Fax: (360) 353-9440

    Type: Mailing

  • 900 FIR ST

    LONGVIEW, WA 986322544

    Phone: (949) 878-8315

    Fax: (360) 353-9441

    Type: Location

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: 2025-05-20

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
I20250520005078INurse PractitionerTXTBD

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 98665)

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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: 8820030133View full group profile
NameSpecialtyState
-WA
Mental Health CounselorWA
Mental Health CounselorWA
Nurse PractitionerID
-WA
Clinical Social WorkerWA
Mental Health CounselorWA
-WA
Nurse PractitionerWA
Mental Health CounselorWA

Reviews

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Frequently asked questions

Does JESSE CHO have a public NPI I can cite?
Public records show JESSE CHO under NPI 1104561398.
Quick check: is JESSE CHO active?
Public NPPES data shows JESSE CHO with an active NPI status right now.
How should patients interpret JESSE CHO's specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for JESSE CHO. Clinical services aligned with this taxonomy classification.
Is JESSE CHO tied to Vancouver, Washington?
If you are local to Vancouver, Washington, JESSE CHO may be relevant to your search.
Why is information missing for JESSE CHO?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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