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SOYOUNG SEO APRN-BC
NPI 1083450613
Nurse Practitioner - Family in Las Vegas, NV

Active since July 03, 2024PECOS Enrolled
2851 N TENAYA WAY STE 101, LAS VEGAS, NV 89128(702) 803-5534 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Soyoung Seo Aprn-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOYOUNG SEO APRN-BC (NPI 1083450613) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (878933) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083450613
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOYOUNG SEOCredential: APRN-BC
Location Address2851 N TENAYA WAY STE 101Las Vegas, NV 89128-0453
Mailing Address7615 Phoenix Peak StLas Vegas, NV 89166-5058 · (775) 401-1809
Phone(702) 803-5534
Sole ProprietorNo
Enumeration DateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1083450613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · 878933
2851 N TENAYA WAY STE 101, Las Vegas, NV 89128
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soyoung Seo Aprn-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Soyoung Seo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ejaz Kamboj, MD, Inc.
1.6 mi
Cardiovascular Disease
1770 N BUFFALO DR STE 103
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 8 clinicians in this Medicare group
NPI 1225254139 (702) 650-0009
Yu Neurology And Electrodiagnostic Center Of Nevada Ltd
Clinical Neurophysiology
2430 W HORIZON RIDGE PKWY
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • 14 clinicians in this Medicare group
NPI 1851314264 (702) 247-9994

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 89128 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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 Soyoung Seo's NPI number?

The NPI number for Soyoung Seo is 1083450613. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Soyoung Seo located?

Soyoung Seo practices at 2851 N Tenaya Way Ste 101, Las Vegas, NV 89128. The listed phone number is (702) 803-5534.

What is Soyoung Seo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Soyoung Seo enrolled in Medicare?

Yes. Soyoung Seo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Soyoung Seo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soyoung Seo reassigns Medicare benefits to 2 organizations: Ejaz Kamboj, MD, Inc. (Las Vegas, NV) and Yu Neurology And Electrodiagnostic Center Of Nevada Ltd (Henderson, NV). 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 Soyoung Seo'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 Soyoung Seo was last updated on July 3, 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.