Individual provider Active NPI

Jessica Chen, MD

  • Cornea and External Diseases Specialist Physician
  • New Haven, CT
National Provider Identifier
1083141550
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
MD203431 Issued in OR
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-9503
NPI assigned
May 16, 2017
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X MD203431 OR
Student in an Organized Health Care Education/Training Program 390200000X
Cornea and External Diseases Specialist Physician 207WX0120X MD203431 OR Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

20 York St
New Haven, CT 06510-3220

Other practice location 1

1040 NW 22nd Ave Bldg 2
Portland, OR 97210-3057
Phone (503) 413-8202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722001868 OR Practitioner - OphthalmologyPractitioner - Internal Medicine 9234409822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1040 NW 22ND Ave
Suite 168
Portland, OR 97210-3036
Phone (503) 413-7022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as group
Quality
92.55
Promoting interoperability
100
Improvement activities
40
Cost
76.53

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD203431ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Emanuel Hospital & Health Center CurrentSince Jul 6, 2021 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Jul 6, 2021 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Single Specialty CurrentSince Jul 6, 2021 Accepting new patients
Legacy Emanuel Hospital & Health Center Single Specialty CurrentSince Jul 6, 2021 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Single Specialty Current Accepting new patients
Legacy Emanuel Hospital & Health Center Single Specialty Current Accepting new patients
Mark a Terry MD PC Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Pacific Imaging Associates LLC Single Specialty Past Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients

Locations

1040 NW 22nd Ave
Bldg 2
Portland, OR 97210
Phone (248) 288-2280

1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022

1040 NW 22nd Ave
Ste 200
Portland, OR 97210
Phone (503) 413-6223

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

300 N Graham St
Ste 300
Portland, OR 97227
Phone (503) 280-3620

Interoperability endpoints

  • Direct secure messaging: jchen582436@direct.lhs.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1083141550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-9503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 NW 22nd Ave Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972103057",
            "country_code": "US",
            "telephone_number": "503-413-8202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD203431",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "OR",
            "license": "MD203431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.