CHAE YOUNG KWON PA-C
NPI 1447969233
Physician Assistant in Roseville, CA
About Chae Young Kwon Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHAE YOUNG KWON PA-C (NPI 1447969233) is an individual physician assistant in Roseville, California, licensed in California (PA61920) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Chae Young Kwon Pa-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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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 Chae Kwon's NPI number?
The NPI number for Chae Kwon is 1447969233. It was assigned to this individual provider in the NPPES registry on November 21, 2022.
Where is Chae Kwon located?
Chae Kwon practices at 3400 Douglas Blvd Ste 170, Roseville, CA 95661. The listed phone number is (855) 446-8628.
What is Chae Kwon's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Chae Kwon enrolled in Medicare?
Yes. Chae Kwon 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 Chae Kwon was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.
# Chae Young Kwon, PA-C · NPI 1447969233
Physician Assistant physician in Roseville, California. Individual provider, active in the CMS NPPES registry since November 21, 2022.
## Identity
- **NPI:** 1447969233 (Entity type: Individual)
- **Enumerated:** November 21, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA61920 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 DOUGLAS BLVD STE 170, Roseville, CA 95661-4281
- **Phone:** (855) 446-8628 · **Fax:** (916) 527-0770
## 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 2022
## Record status
- **NPPES last updated:** September 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1447969233) · Data from the CMS NPPES public registry.