Jieun Shin, - Medicare Nurse Practitioner in Garden Grove, CA

Jieun Shin, is a medicare enrolled "Nurse Practitioner - Primary Care" in Garden Grove, California. Her current practice location is 9896 Garden Grove Blvd, Garden Grove, California. You can reach out to her office (for appointments etc.) via phone at (714) 636-3032.

Jieun Shin is licensed to practice in California (license number NP95008532) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275035917.

Contact Information

Jieun Shin,
9896 Garden Grove Blvd,
Garden Grove, CA 92844-1643
(714) 636-3032
(714) 636-3116

Map and Direction




Provider's Profile

Full NameJieun Shin
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location9896 Garden Grove Blvd, Garden Grove, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275035917
  • Provider Enumeration Date: 03/07/2018
  • Last Update Date: 05/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901262328
  • Enrollment ID: I20230509002862

Medical Identifiers

Medical identifiers for Jieun Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275035917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care NP95008532 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jieun Shin allows following entities to bill medicare on her behalf.
Entity NameGarden Grove Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972781458
PECOS PAC ID: 1456514264
Enrollment ID: O20120515000096

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jieun Shin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jieun Shin,
9896 Garden Grove Blvd,
Garden Grove, CA 92844-1643

Ph: (714) 636-3032
Jieun Shin,
9896 Garden Grove Blvd,
Garden Grove, CA 92844-1643

Ph: (714) 636-3032

Reviews and Comments


Nurse Practitioner Nurses in Garden Grove, CA

Barbara C Kenerson, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6151 Cerulean Ave, Garden Grove, CA 92845
Phone: 714-943-3126    
Ms. Jung Eun Yim, N.P
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9828 Garden Grove Blvd Ste 201, Garden Grove, CA 92844
Phone: 714-530-9633    Fax: 714-530-4410
Ms. Jennifer Amos, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12141 Brookhurst St, Garden Grove, CA 92840
Phone: 714-296-1934    
Anh Nguyen Galleta, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9191 Westminster Ave Ste 106, Garden Grove, CA 92844
Phone: 714-583-6340    
Mrs. Adita Graciela Mckenzie, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12751 Harbor Blvd, Garden Grove, CA 92840
Phone: 714-620-8883    
Tu Thuy Tonnu, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14221 Euclid St Ste H, Garden Grove, CA 92843
Phone: 714-539-9999    Fax: 714-539-9015
Susan Jean Reynolds, RN, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9802 Woodbury Ave, Garden Grove, CA 92844
Phone: 714-663-6411    Fax: 714-663-6470

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.