KANGSUN JIN CRNP
NPI 1023809167
Nurse Practitioner - Psychiatric/Mental Health in Latrobe, PA
About Kangsun Jin Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANGSUN JIN CRNP (NPI 1023809167) is an individual psychiatric/mental health provider in Latrobe, Pennsylvania, licensed in Pennsylvania (SP033087) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, is affiliated with Indiana Regional Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Kangsun Jin Crnp 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
2Medicare enrollment records show Kangsun Jin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indiana, PA 15701
- Reassigned Medicare billing, Pennsylvania enrollment
- 18 clinicians in this Medicare group
Erie, PA 16506
- Reassigned Medicare billing, Pennsylvania enrollment
- 7 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Indiana Regional Medical Center
Acute Care Hospitals · Indiana, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15650 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kangsun Jin's NPI number?
The NPI number for Kangsun Jin is 1023809167. It was assigned to this individual provider in the NPPES registry on May 16, 2025.
Where is Kangsun Jin located?
Kangsun Jin practices at 134 Braddock Dr, Latrobe, PA 15650. The listed phone number is (929) 395-6116.
What is Kangsun Jin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kangsun Jin enrolled in Medicare?
Yes. Kangsun Jin 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 Kangsun Jin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kangsun Jin reassigns Medicare benefits to 2 organizations: Community Guidance Center (Indiana, PA) and Telos Health Systems PA PLLC (Erie, PA). 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 Kangsun Jin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kangsun Jin accept?
Health plans from UnitedHealthcare list Kangsun Jin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kangsun Jin affiliated with any hospitals?
According to CMS data, Kangsun Jin is affiliated with Indiana Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Kangsun Jin was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Kangsun Jin, CRNP · NPI 1023809167
Psychiatric/Mental Health physician in Latrobe, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 16, 2025.
## Identity
- **NPI:** 1023809167 (Entity type: Individual)
- **Enumerated:** May 16, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** SP033087 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 134 BRADDOCK DR, Latrobe, PA 15650-1034
- **Phone:** (929) 395-6116
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Community Guidance Center (NPI 1609862622, Indiana, PA); Telos Health Systems PA PLLC (NPI 1205798956, Erie, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023809167) · Data from the CMS NPPES public registry.