STEPHANIE SUN KOH FNP-C
NPI 1376177691
Nurse Practitioner - Family in Las Vegas, NV

Active since February 25, 2020PECOS Enrolled
777 N RAINBOW BLVD STE 350, LAS VEGAS, NV 89107(833) 208-0588(702) 921-9712 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2023, Feb 25, 2020 (2 updates tracked since 2020).

About Stephanie Sun Koh Fnp-c NPPES

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

STEPHANIE SUN KOH FNP-C (NPI 1376177691) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (826301) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376177691
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE SUN KOHCredential: FNP-C
Location Address777 N RAINBOW BLVD STE 350Las Vegas, NV 89107-1188
Mailing Address3103 David AvePalo Alto, CA 94303-3944 · (732) 770-6484
Fax(702) 921-9712
Sole ProprietorNo
Enumeration DateFebruary 25, 2020
Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
NPI 1376177691 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 · 826301
777 N RAINBOW BLVD STE 350, Las Vegas, NV 89107

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Sun Koh Fnp-c 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 89107 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.

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.

Family Medicine
777 N RAINBOW BLVD STE 350
LAS VEGAS, NV 89107
Case Manager/Care Coordinator
777 N RAINBOW BLVD STE 350
LAS VEGAS, NV 89107
Family Medicine
777 N RAINBOW BLVD STE 350
LAS VEGAS, NV 89107
Internal Medicine
777 N RAINBOW BLVD STE 350
LAS VEGAS, NV 89107
Family Medicine
777 N RAINBOW BLVD STE 350
LAS VEGAS, NV 89107
Registered Nurse (Case Management)
777 N RAINBOW BLVD STE 350
LAS VEGAS, NV 89107
Community/Behavioral Health
777 N RAINBOW BLVD STE 350
LAS VEGAS, NV 89107

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 Koh's NPI number?

The NPI number for Stephanie Koh is 1376177691. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is Stephanie Koh located?

Stephanie Koh practices at 777 N Rainbow Blvd Ste 350, Las Vegas, NV 89107. The listed phone number is (833) 208-0588.

What is Stephanie Koh's specialty?

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

Is Stephanie Koh enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephanie Koh was last updated on August 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.