DESIREE SHIN MSN, AGACNP-BC
NPI 1457038945
Nurse Practitioner in Los Angeles, CA
About Desiree Shin Msn, Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESIREE SHIN MSN, AGACNP-BC (NPI 1457038945) is an individual nurse practitioner in Los Angeles, California, licensed in California (95016669) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Desiree Shin Msn, Agacnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Desiree Shin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 1,766 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 90095 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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Desiree Shin's NPI number?
The NPI number for Desiree Shin is 1457038945. It was assigned to this individual provider in the NPPES registry on June 28, 2023.
Where is Desiree Shin located?
Desiree Shin practices at 200 Ucla Medical Plz Ste 365B, Los Angeles, CA 90095. The listed phone number is (310) 825-8061.
What is Desiree Shin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Desiree Shin enrolled in Medicare?
Yes. Desiree 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.
Which organization bills Medicare for Desiree Shin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Shin reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, 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 Desiree 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 Desiree Shin was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Desiree Shin, MSN, AGACNP-BC · NPI 1457038945
Nurse Practitioner physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 28, 2023.
## Identity
- **NPI:** 1457038945 (Entity type: Individual)
- **Enumerated:** June 28, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95016669 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 UCLA MEDICAL PLZ STE 365B, Los Angeles, CA 90095-8344
- **Phone:** (310) 825-8061
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Regents Of The University Of California (NPI 1235107566, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1457038945) · Data from the CMS NPPES public registry.