JUNGJOO YI
NPI 1083022123
Nurse Practitioner - Gerontology in Puyallup, WA
About Jungjoo Yi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUNGJOO YI (NPI 1083022123) is an individual gerontology provider in Puyallup, Washington, licensed in Washington (AP60493638) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.
NPPES Registry Identity
Specialties & Licenses 2
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 (PECOS)
Jungjoo Yi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jungjoo Yi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Puyallup, WA 98374
- Reassigned Medicare billing, Washington enrollment
- 525 clinicians in this Medicare group
Renton, WA 98057
- Reassigned Medicare billing, Washington enrollment
- 2,678 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 98374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PUYALLUP, WA 98374
PUYALLUP, WA 98374
PUYALLUP, WA 98374
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 Jungjoo Yi's NPI number?
The NPI number for Jungjoo Yi is 1083022123. It was assigned to this individual provider in the NPPES registry on July 31, 2014.
Where is Jungjoo Yi located?
Jungjoo Yi practices at 10217 125th Street Ct E, Puyallup, WA 98374. The listed phone number is (253) 864-4550.
What is Jungjoo Yi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Jungjoo Yi enrolled in Medicare?
Yes. Jungjoo Yi is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jungjoo Yi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jungjoo Yi reassigns Medicare benefits to 2 organizations: Sea Mar Community Health Centers (Puyallup, WA) and Kaiser Foundation Health Plan Of Washington (Renton, WA). 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 Jungjoo Yi'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 Jungjoo Yi was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jungjoo Yi · NPI 1083022123
Gerontology physician in Puyallup, Washington. Individual provider, active in the CMS NPPES registry since July 31, 2014.
## Identity
- **NPI:** 1083022123 (Entity type: Individual)
- **Enumerated:** July 31, 2014
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** AP60493638 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 10217 125TH STREET CT E, Puyallup, WA 98374-2761
- **Phone:** (253) 864-4550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Sea Mar Community Health Centers (NPI 1912055286, Puyallup, WA); Kaiser Foundation Health Plan Of Washington (NPI 1124264577, Renton, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1083022123) · Data from the CMS NPPES public registry.