EUNAE KO NURSE PRACTITIONER
NPI 1003272865
Nurse Practitioner - Primary Care in New York, NY
About Eunae Ko Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EUNAE KO NURSE PRACTITIONER (NPI 1003272865) is an individual primary care provider in New York, New York, licensed in New York (308083) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Teaneck, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Eunae Ko Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Eunae Ko reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11217
- Reassigned Medicare billing, New York enrollment
- 30 clinicians in this Medicare group
Newark, NJ 07102
- Reassigned Medicare billing, New Jersey enrollment
- 112 clinicians in this Medicare group
Teaneck, NJ 07666
- Reassigned Medicare billing, New Jersey enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eunae Ko's NPI number?
The NPI number for Eunae Ko is 1003272865. It was assigned to this individual provider in the NPPES registry on January 10, 2016.
Where is Eunae Ko located?
Eunae Ko practices at 365A W 28th St, New York, NY 10001. The listed phone number is (212) 741-3030.
What is Eunae Ko's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Eunae Ko enrolled in Medicare?
Yes. Eunae Ko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Eunae Ko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eunae Ko reassigns Medicare benefits to 3 organizations: Mvp Medical Practice PC (Brooklyn, NY), Central Avenue Professional Services, PC (Newark, NJ) and Rheumatology Associates Of North Jersey (Teaneck, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eunae Ko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Eunae Ko was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eunae Ko, NURSE PRACTITIONER · NPI 1003272865
Primary Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since January 10, 2016.
## Identity
- **NPI:** 1003272865 (Entity type: Individual)
- **Enumerated:** January 10, 2016
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 308083 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 365A W 28TH ST, New York, NY 10001-4703
- **Phone:** (212) 741-3030 · **Fax:** (212) 741-3040
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mvp Medical Practice PC (NPI 1912541061, Brooklyn, NY); Central Avenue Professional Services, PC (NPI 1447649694, Newark, NJ); Rheumatology Associates Of North Jersey (NPI 1699871442, Teaneck, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003272865) · Data from the CMS NPPES public registry.