Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenna Nicole Yang

Individual provider Physician Assistant · NPI 1073372199

Jenna Nicole Yang is a Physician Assistant in Shawnee, Kansas. Qualified in 2025, 1 year ago. Registered with an NPI since 2024.

Years since qualifying
1
In the registry since
2024

Practice location Address checks out

6938 Roundtree St
Shawnee, KS 66226-3733
Phone: (703) 595-7128
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1073372199
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address6938 Roundtree St, Shawnee, KS 66226-3733

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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