KYUNGHEE SEO FNP
NPI 1073903100
Nurse Practitioner - Primary Care in Lakewood, WA
About Kyunghee Seo Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYUNGHEE SEO FNP (NPI 1073903100) is an individual primary care provider in Lakewood, Washington, licensed in Washington (60676989) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 4
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
Kyunghee Seo Fnp 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
4Medicare enrollment records show Kyunghee Seo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lakewood, WA 98499
- Reassigned Medicare billing, Washington enrollment
Ogden, UT 84401
- Reassigned Medicare billing, Utah enrollment
- Medicare enrollment name: State Of Utah
- 84 clinicians in this Medicare group
Arapahoe, WY 82510
- Reassigned Medicare billing, Texas enrollment
- 57 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Utah enrollment
- 145 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98499 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAKEWOOD, WA 98499
LAKEWOOD, WA 98499
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 Kyunghee Seo's NPI number?
The NPI number for Kyunghee Seo is 1073903100. It was assigned to this individual provider in the NPPES registry on January 27, 2015.
Where is Kyunghee Seo located?
Kyunghee Seo practices at 3520 96th St S Ste 109, Lakewood, WA 98499. The listed phone number is (801) 602-2645.
What is Kyunghee Seo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kyunghee Seo enrolled in Medicare?
Yes. Kyunghee Seo 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 Kyunghee Seo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyunghee Seo reassigns Medicare benefits to 4 organizations: Wellbeing Medical Clinic PLLC (Lakewood, WA), Health Clinics Of Utah (Ogden, UT), Wind River Family & Community Healthc Care (Arapahoe, WY) and Signify Health, LLC (Dallas, TX). 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 Kyunghee Seo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyunghee Seo accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Kyunghee Seo 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.
When was this NPI record last updated?
The NPPES record for Kyunghee Seo was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kyunghee Seo, FNP · NPI 1073903100
Primary Care physician in Lakewood, Washington. Individual provider, active in the CMS NPPES registry since January 27, 2015.
## Identity
- **NPI:** 1073903100 (Entity type: Individual)
- **Enumerated:** January 27, 2015
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 60676989 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 3520 96TH ST S STE 109, Lakewood, WA 98499-9251
- **Phone:** (801) 602-2645
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Wellbeing Medical Clinic PLLC (NPI 1407715949, Lakewood, WA); Health Clinics Of Utah (NPI 1225193584, Ogden, UT); Wind River Family & Community Healthc Care (NPI 1285006379, Arapahoe, WY); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073903100) · Data from the CMS NPPES public registry.