MICHELLE SEO FNP-BC
NPI 1104490333
Nurse Practitioner - Family in Sherman Oaks, CA

Q: What is Michelle Seo's NPI number?

The NPI number for Michelle Seo is 1104490333. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Q: What is Michelle Seo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michelle Seo was last updated on August 3, 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.

Active since May 12, 2021PECOS Enrolled

14735 VENTURA BLVD, SHERMAN OAKS, CA 91403(818) 788-0208 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2021, Jul 30, 2021, May 12, 2021 (3 updates tracked since 2021).

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About Michelle Seo Fnp-bc NPPES

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

MICHELLE SEO FNP-BC (NPI 1104490333) is an individual family provider in Sherman Oaks, California, licensed in California (95017296) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104490333

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE SEOCredential: FNP-BC

Location Address14735 VENTURA BLVDSherman Oaks, CA 91403-3679

Mailing Address14735 Ventura BlvdSherman Oaks, CA 91403-3679 · (818) 788-0208

Phone(818) 788-0208

Sole ProprietorNo

Enumeration DateMay 12, 2021

Last NPPES UpdateAugust 3, 20213 updates tracked since enumeration

NPPES CertifiedAugust 3, 2021

✔ NPI 1104490333 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 CA · 95017296

14735 VENTURA BLVD, Sherman Oaks, CA 91403

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Seo Fnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91403 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ALLISON W DOLPHIN N.P.

Nurse Practitioner (Family)