HAERIM KWON PAK NP
NPI 1457051625
Nurse Practitioner - Women's Health in Bedford, IN

Active since March 07, 2023PECOS EnrolledAccepts Medicare Assignment
2900 16TH ST, BEDFORD, IN 47421(812) 275-5993 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Feb 3, 2026, Dec 16, 2025 and 1 more (4 updates tracked since 2023).

About Haerim Kwon Pak Np NPPES

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

HAERIM KWON PAK NP (NPI 1457051625) is an individual women's health provider in Bedford, Indiana, licensed in Indiana (71017394A) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1457051625
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameHAERIM KWON PAKCredential: NP
Location Address2900 16TH STBedford, IN 47421-3510
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 7, 2023
Last NPPES UpdateJune 8, 20264 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1457051625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses Licensed in IN · 71017394A Licensed in OH · 0033230
2900 16TH ST, Bedford, IN 47421

Other Names 1

Former Name (1)Haerim Kwon

Secondary Practice Location 1

Location 12651 E Discovery PkwyBloomington, IN 47408-9059 · Phone (812) 353-5252

Other Identifiers 1

Medicaid300125262IN

Accepted Insurance

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

Haerim Kwon Pak Np 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 ID3971098617
PECOS Enrollment IDI20251219002972
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health Bedford Hospital

Critical Access Hospitals · Bedford, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151328
Location2900 W 16th StBedford, IN 47421 · Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47421 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

Nurse Anesthetist, Certified Registered
2900 16TH ST
BEDFORD, IN 47421
Nurse Practitioner (Family)
2900 16TH ST
BEDFORD, IN 47421
Pathology (Anatomic Pathology & Clinical Pathology)
2900 16TH ST
BEDFORD, IN 47421
Nurse Practitioner (Family)
2900 16TH ST
BEDFORD, IN 47421
Nurse Anesthetist, Certified Registered
2900 16TH ST
BEDFORD, IN 47421
Internal Medicine
2900 16TH ST
BEDFORD, IN 47421
Nurse Practitioner
2900 16TH ST
BEDFORD, IN 47421
Physician Assistant
2900 16TH ST
BEDFORD, IN 47421

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 Haerim Pak's NPI number?

The NPI number for Haerim Pak is 1457051625. It was assigned to this individual provider in the NPPES registry on March 7, 2023. The provider is also known as Haerim Kwon.

Where is Haerim Pak located?

Haerim Pak practices at 2900 16th St, Bedford, IN 47421. The listed phone number is (812) 275-5993.

What is Haerim Pak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Haerim Pak enrolled in Medicare?

Yes. Haerim Pak 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.

What insurance does Haerim Pak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Haerim Pak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Haerim Pak affiliated with any hospitals?

According to CMS data, Haerim Pak is affiliated with Indiana University Health Bloomington Hospital and Indiana University Health Bedford Hospital.

When was this NPI record last updated?

The NPPES record for Haerim Pak was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.