Individual provider Active NPI

Joey Jace Chung, CRNA

  • Certified Registered Nurse Anesthetist
  • Lincoln, NE
National Provider Identifier
1669067658
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101638 Issued in NE
Practice address
2900 S 70TH Street
Suite # 450
Lincoln, NE 68506-3796
Phone
(402) 489-4186
Fax
(402) 489-5279
NPI assigned
Mar 2, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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

Hospital & facility affiliations 4

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

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Anesthesiologists, PC 101 clinicians

Practice addresses (Care Compare)

1600 N 48TH St
Lincoln, NE 68506-1283
Phone (402) 489-0200

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • Lincoln Surgical Hospital Hospital, Lincoln, NE, CCN 280127

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
80
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20210525000802 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517366529 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
77860NEMDRegistered Nurse
101638NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists PC CurrentSince Jun 14, 2021 Accepting new patients

Locations

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2900 S 70th St
Ste 450
Lincoln, NE 68506
Phone (402) 489-4186

2900 S 70th St
Ste 250
Lincoln, NE 68506
Phone (402) 489-4186

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 77860 NE
Certified Registered Nurse Anesthetist 367500000X 101638 NE Primary

Addresses

NPPES NPI Registry

Primary practice location

2900 S 70TH Street
Suite # 450
Lincoln, NE 68506-3796

Mailing address

2900 S 70TH Street
Suite # 450
Lincoln, NE 68506-3796
Phone (402) 489-4186

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2021.

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1669067658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S 70TH STREET",
            "address_2": "SUITE # 450",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063796",
            "telephone_number": "402-489-4186",
            "fax_number": "402-489-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S 70TH STREET",
            "address_2": "SUITE # 450",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063796",
            "telephone_number": "402-489-4186",
            "fax_number": "402-489-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JOEY",
        "middle_name": "JACE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "77860",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.