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KYUNGHEE SEO FNP
NPI 1073903100
Nurse Practitioner - Primary Care in Lakewood, WA

Active since January 27, 2015PECOS EnrolledAccepts Medicare Assignment
3520 96TH ST S STE 109, LAKEWOOD, WA 98499(801) 602-2645 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2025, Jun 26, 2025, May 22, 2025 (3 updates tracked since 2025).

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

NPI1073903100
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKYUNGHEE SEOCredential: FNP
Location Address3520 96TH ST S STE 109Lakewood, WA 98499-9251
Mailing Address3520 96th St S Ste 109Lakewood, WA 98499-9251 · (253) 267-1202 · Fax (253) 267-1334
Phone(801) 602-2645
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 27, 2015
Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1073903100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Licenses✔ Licensed in WA · 60676989✔ Licensed in WA · AP60676989
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License AP60676989 (WA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5797157-4405 (UT), AP60676989 (WA)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP60676989 (WA)
3520 96TH ST S STE 109, Lakewood, WA 98499
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9931410263
PECOS Enrollment IDI20250522002385
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services31 patients

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.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

WELLBEING MEDICAL CLINIC PLLC
Nurse Practitioner (Primary Care)
3520 96TH ST S STE 109
LAKEWOOD, WA 98499
Pierce County (801) 602-2645
WELLBEING MEDICAL CLINIC PLLC
Clinic/Center (Multi-Specialty)
3520 96TH ST S STE 109
LAKEWOOD, WA 98499
Pierce County (253) 267-1202

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.

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 with the weekly NPPES data releases published by CMS.