SEO YOUNG SHIN NP-C
NPI 1396440699
Nurse Practitioner - Family in Riverside, CA
About Seo Young Shin Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEO YOUNG SHIN NP-C (NPI 1396440699) is an individual family provider in Riverside, California, licensed in California (95019803) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Bernardino, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Seo Young Shin Np-c 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 92506 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Seo Young Shin's NPI number?
The NPI number for Seo Young Shin is 1396440699. It was assigned to this individual provider in the NPPES registry on April 4, 2023.
Where is Seo Young Shin located?
Seo Young Shin practices at 7117 Brockton Ave, Riverside, CA 92506. The listed phone number is (951) 321-6539.
What is Seo Young Shin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Seo Young Shin enrolled in Medicare?
Yes. Seo Young Shin 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 Seo Young Shin was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Seo Young Shin, NP-C · NPI 1396440699
Family physician in Riverside, California. Individual provider, active in the CMS NPPES registry since April 4, 2023.
## Identity
- **NPI:** 1396440699 (Entity type: Individual)
- **Enumerated:** April 4, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95019803 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 7117 BROCKTON AVE, Riverside, CA 92506-2658
- **Phone:** (951) 321-6539
## 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 2020
## Record status
- **NPPES last updated:** June 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396440699) · Data from the CMS NPPES public registry.