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EUN AE SUNG
NPI 1366971194
Nurse Practitioner - Family in Las Vegas, NV

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment
9811 W CHARLESTON BLVD # 2-441, LAS VEGAS, NV 89117(702) 420-7704 Get Directions Write a Review

NPPES record last updated: June 6, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eun Ae Sung NPPES

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

EUN AE SUNG (NPI 1366971194) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (APRN002245) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366971194
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEUN AE SUNG
Location Address9811 W CHARLESTON BLVD # 2-441Las Vegas, NV 89117-7528
Mailing Address9811 W Charleston Blvd # 2-441Las Vegas, NV 89117-7528
Phone(702) 420-7704
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 6, 2017
✔ NPI 1366971194 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 · APRN002245
9811 W CHARLESTON BLVD # 2-441, Las Vegas, NV 89117
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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 and accepts Medicare assignment

Eun Ae Sung 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.

PECOS PAC ID3173887890
PECOS Enrollment IDI20180504002057
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 Eun Ae Sung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shahab Mokhtare Inc
1.6 mi
Family Medicine
330 S RAMPART BLVD STE 350
Las Vegas, NV 89145
  • Reassigned Medicare billing, Nevada enrollment
  • 2 clinicians in this Medicare group
NPI 1639576820 (702) 420-7704

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
343 services42 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
32 services32 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
31 services31 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
23 services12 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89117 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.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier43 claims43 services$35.42 avg. paid by Medicare
Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$54.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Eun Ae Sung's NPI number?

The NPI number for Eun Ae Sung is 1366971194. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Eun Ae Sung located?

Eun Ae Sung practices at 9811 W Charleston Blvd # 2-441, Las Vegas, NV 89117. The listed phone number is (702) 420-7704.

What is Eun Ae Sung's specialty?

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

Is Eun Ae Sung enrolled in Medicare?

Yes. Eun Ae Sung 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.

Which organization bills Medicare for Eun Ae Sung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eun Ae Sung reassigns Medicare benefits to Shahab Mokhtare Inc (Las Vegas, NV). 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 Eun Ae Sung'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 Eun Ae Sung was last updated on June 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.