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MS. CHAN MARY SOEUR
NPI 1437893310
Nurse Practitioner - Psychiatric/Mental Health in Oakland, CA

Active since April 26, 2022PECOS EnrolledAccepts Medicare Assignment
310 8TH ST STE 210, OAKLAND, CA 94607(510) 735-3900(510) 735-3941 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Chan Mary Soeur NPPES

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

MS. CHAN MARY SOEUR (NPI 1437893310) is an individual psychiatric/mental health provider in Oakland, California, licensed in California (95027598) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1437893310
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. CHAN MARY SOEUR
Location Address310 8TH ST STE 210Oakland, CA 94607-6527
Mailing Address310 8th St Ste 210Oakland, CA 94607-6527 · (510) 735-3900 · Fax (510) 735-3941
Phone(510) 735-3900
Fax(510) 735-3941
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 26, 2022
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1437893310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95027598
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95027598 (CA)
310 8TH ST STE 210, Oakland, CA 94607
Open in Google Maps ↗

Secondary Practice Location 1

Location 198 Bosworth StSan Francisco, CA 94112-1002 · Phone (415) 551-0975

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Ms. Chan Mary Soeur 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 ID3779933460
PECOS Enrollment IDI20231220004108
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 Reassignments

2

Medicare enrollment records show Chan Mary Soeur reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Asian Health Services
Same address
Federally Qualified Health Center (FQHC)
817 HARRISON STREET
Oakland, CA 94607
  • Reassigned Medicare billing, California enrollment
  • 130 clinicians in this Medicare group
NPI 1073827242 (510) 986-0430
Cep America - Psychiatry PC
8.0 mi
Psychiatry
900 HYDE ST
San Francisco, CA 94109
  • Reassigned Medicare billing, California enrollment
  • 208 clinicians in this Medicare group
NPI 1093372468 (415) 353-6000

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 94607 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHUNG MAN ALEX LAM
Marriage & Family Therapist
310 8TH ST STE 210
OAKLAND, CA 94607
Alameda County (510) 735-3900
SHIRLEY WY WONG
Marriage & Family Therapist
310 8TH ST STE 210
OAKLAND, CA 94607
Alameda County (510) 847-6626
JUN LI
Counselor (Mental Health)
310 8TH ST STE 210
OAKLAND, CA 94607
Alameda County (510) 735-3900
DR. KOTOMI ITO PH.D.
Psychologist (Clinical)
310 8TH ST STE 210
OAKLAND, CA 94607
Alameda County (510) 735-3900
JURI KANG MSW
Rehabilitation Practitioner
310 8TH ST STE 210
OAKLAND, CA 94607
Alameda County (510) 735-3900
EUN MIN HYUN
Student in an Organized Health Care Education/Training Program
310 8TH ST STE 210
OAKLAND, CA 94607
Alameda County (510) 735-3900
JENNIFER KO YEH
Student in an Organized Health Care Education/Training Program
310 8TH ST STE 210
OAKLAND, CA 94607
Alameda County (510) 735-3900
QIZHI PENG
Student in an Organized Health Care Education/Training Program
310 8TH ST STE 210
OAKLAND, CA 94607
Alameda County (510) 735-3900

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 Chan Mary Soeur's NPI number?

The NPI number for Chan Mary Soeur is 1437893310. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Chan Mary Soeur located?

Chan Mary Soeur practices at 310 8th St Ste 210, Oakland, CA 94607. The listed phone number is (510) 735-3900.

What is Chan Mary Soeur's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Chan Mary Soeur enrolled in Medicare?

Yes. Chan Mary Soeur 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 organizations bill Medicare for Chan Mary Soeur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chan Mary Soeur reassigns Medicare benefits to 2 organizations: Asian Health Services (Oakland, CA) and Cep America - Psychiatry PC (San Francisco, CA). Each 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 Chan Mary Soeur'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 Chan Mary Soeur was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.