1. Home
  2. Directory
  3. Georgia
  4. Suwanee
  5. Nurse Practitioner
  6. NPI Profile

STEPHANIE BONGLAE HAN N.P.
NPI 1184023780
Nurse Practitioner - Adult Health in Suwanee, GA

Active since August 19, 2014PECOS Enrolled
545 GOLDEN MEADOWS LN, SUWANEE, GA 30024(517) 214-5304 Get Directions Write a Review

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephanie Bonglae Han N.p. NPPES

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

STEPHANIE BONGLAE HAN N.P. (NPI 1184023780) is an individual adult health provider in Suwanee, Georgia, licensed in Georgia (210849) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184023780
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSTEPHANIE BONGLAE HANCredential: N.P.
Location Address545 GOLDEN MEADOWS LNSuwanee, GA 30024-2271
Mailing Address545 Golden Meadows LnSuwanee, GA 30024-2271 · (517) 214-5304
Phone(517) 214-5304
Sole ProprietorNo
Enumeration DateAugust 19, 2014
✔ NPI 1184023780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · 210849
545 GOLDEN MEADOWS LN, Suwanee, GA 30024
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Bonglae Han N.p. 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 Reassignment

Medicare enrollment records show Stephanie Han reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Georgia Clinic, PC
16 mi
Multi-Specialty
1861 PEELER RD
Dunwoody, GA 30338
  • Reassigned Medicare billing, Georgia enrollment
  • 46 clinicians in this Medicare group
NPI 1609816123 (770) 730-5800

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 30024 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 Stephanie Han's NPI number?

The NPI number for Stephanie Han is 1184023780. It was assigned to this individual provider in the NPPES registry on August 19, 2014.

Where is Stephanie Han located?

Stephanie Han practices at 545 Golden Meadows Ln, Suwanee, GA 30024. The listed phone number is (517) 214-5304.

What is Stephanie Han's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Stephanie Han enrolled in Medicare?

Yes. Stephanie Han is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Han's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Han reassigns Medicare benefits to Georgia Clinic, PC (Dunwoody, GA). The 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 Stephanie Han'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 Stephanie Han was last updated on August 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.