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 and maintains a secondary practice location in San Bernardino.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Seo Young Shin Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Seo Young Shin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92506
- Reassigned Medicare billing, California enrollment
- 349 clinicians in this Medicare group
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 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 enrollment system.
Which organization bills Medicare for Seo Young Shin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Seo Young Shin reassigns Medicare benefits to Riverside Medical Clinic, Inc (Riverside, CA). 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 Seo Young Shin'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 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 16 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 in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Riverside Medical Clinic, Inc (NPI 1316080880, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## 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.