SUE YEON YOON FNP, AGNP
NPI 1245102185
Nurse Practitioner in San Diego, CA
About Sue Yeon Yoon Fnp, Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUE YEON YOON FNP, AGNP (NPI 1245102185) is an individual nurse practitioner in San Diego, California, licensed in California (95035454) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Sue Yeon Yoon Fnp, Agnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92101
SAN DIEGO, CA 92101
SAN DIEGO, CA 92101
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 Sue Yoon's NPI number?
The NPI number for Sue Yoon is 1245102185. It was assigned to this individual provider in the NPPES registry on September 20, 2025. The provider is also known as Sue Yeon Kim.
Where is Sue Yoon located?
Sue Yoon practices at 1550 Broadway, San Diego, CA 92101. The listed phone number is (619) 515-2525.
What is Sue Yoon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Sue Yoon enrolled in Medicare?
Yes. Sue Yoon 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.
When was this NPI record last updated?
The NPPES record for Sue Yoon was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Sue Yeon Yoon, FNP, AGNP · NPI 1245102185
Nurse Practitioner physician in San Diego, California. Individual provider, active in the CMS NPPES registry since September 20, 2025.
## Identity
- **NPI:** 1245102185 (Entity type: Individual)
- **Enumerated:** September 20, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95035454 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1550 BROADWAY, San Diego, CA 92101-5713
- **Phone:** (619) 515-2525
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245102185) · Data from the CMS NPPES public registry.