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SEONGGEUN JIN CRNA
NPI 1487889291
Nurse Anesthetist, Certified Registered in Beverly, MA

Active since May 22, 2009PECOS Enrolled
85 HERRICK ST, BEVERLY, MA 01915(978) 816-3700 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Seonggeun Jin Crna NPPES

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

SEONGGEUN JIN CRNA (NPI 1487889291) is an individual nurse anesthetist, certified registered in Beverly, Massachusetts, licensed in Massachusetts (RN2312048) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and maintains a secondary practice location in Zephyrhills.

NPPES Registry Identity

NPI1487889291
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSEONGGEUN JINCredential: CRNA
Location Address85 HERRICK STBeverly, MA 01915-1790
Mailing Address41 Mall RdBurlington, MA 01805-0001 · (781) 744-8000
Phone(978) 816-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 22, 2009
Last NPPES UpdateNovember 14, 2023
NPPES CertifiedNovember 14, 2023
✔ NPI 1487889291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in MA · RN2312048✔ Licensed in FL · ARNP9253829
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
85 HERRICK ST, Beverly, MA 01915
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Secondary Practice Location 1

Location 17050 Gall BlvdZephyrhills, FL 33541-1347 · Phone (813) 777-4687

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seonggeun Jin Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496892044
PECOS Enrollment IDI20170313001137
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

6

Medicare enrollment records show Seonggeun Jin reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beverly Anesthesia Associates, Inc.
5.1 mi
Anesthesiology
480 MAPLE ST, SUITE C233A
Danvers, MA 01923
  • Reassigned Medicare billing, Massachusetts enrollment
  • 44 clinicians in this Medicare group
NPI 1427041268 (978) 304-8690
Beth Israel Lahey Health Specialty Care, Inc.
11 mi
Internal Medicine
298 WASHINGTON ST
Gloucester, MA 01930
  • Reassigned Medicare billing, Massachusetts enrollment
  • 477 clinicians in this Medicare group
NPI 1235147760 (978) 282-3681
Jjm Medical Services, PC
24 mi
Anesthesiology
1440 MAIN ST
Waltham, MA 02451
  • Reassigned Medicare billing, Massachusetts enrollment
  • 90 clinicians in this Medicare group
NPI 1952548265 (781) 891-9300
Capa Anesthesia LLC
26 mi
Anesthesiology
99 LIBBEY INDUSTRIAL PARK
Weymouth, MA 02189
  • Reassigned Medicare billing, Massachusetts enrollment
  • 115 clinicians in this Medicare group
NPI 1629723002 (781) 331-0537
Umass Memorial Medical Group Inc
49 mi
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1760445373 (508) 334-1000
Steward Medical Group, Inc
62 mi
Anesthesiology
795 MIDDLE ST
Fall River, MA 02721
  • Reassigned Medicare billing, Massachusetts enrollment
  • 347 clinicians in this Medicare group
NPI 1043711914 (508) 674-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
58 services58 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
34 services34 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
25 services25 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
22 services22 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
18 services18 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01915 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
92%214 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. ROBERT JOHN TAVARES M.D.
Internal Medicine
85 HERRICK ST, LAHEY AT BEVERLY HOSPITAL
BEVERLY, MA 01915
Essex County (978) 922-3000
JENNA SUSAN LINEHAN RD
Dietitian, Registered
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 816-2501
RONALD NEWMAN MD
Internal Medicine
85 HERRICK ST, LAHEY AT BEVERLY HOSPITAL
BEVERLY, MA 01915
Essex County (978) 922-3000
TYANNA BARNES CRNA
Nurse Anesthetist, Certified Registered
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 816-2501
MS. LINDA G HAYNES PNP
Nurse Practitioner (Pediatrics)
85 HERRICK ST, THE LYNCH BUILDING
BEVERLY, MA 01915
Essex County (978) 921-2899
DR. ARIADNE STEPHANIE SCOTT IRIARTE MD
Internal Medicine
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 922-3000
PAULA K MARTINEZ MD
Hospitalist
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 816-3700
NATALIE REYNOLDS RULLI
Dietitian, Registered
85 HERRICK ST
BEVERLY, MA 01915
Essex County (978) 816-2501

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 Seonggeun Jin's NPI number?

The NPI number for Seonggeun Jin is 1487889291. It was assigned to this individual provider in the NPPES registry on May 22, 2009.

Where is Seonggeun Jin located?

Seonggeun Jin practices at 85 Herrick St, Beverly, MA 01915. The listed phone number is (978) 816-3700.

What is Seonggeun Jin's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Seonggeun Jin enrolled in Medicare?

Yes. Seonggeun Jin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Seonggeun Jin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seonggeun Jin reassigns Medicare benefits to 6 organizations: Beverly Anesthesia Associates, Inc. (Danvers, MA), Beth Israel Lahey Health Specialty Care, Inc. (Gloucester, MA), Jjm Medical Services, PC (Waltham, MA), Capa Anesthesia LLC (Weymouth, MA), Umass Memorial Medical Group Inc (Worcester, MA) and 1 more organization, listed in the Medicare section above. 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 Seonggeun Jin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Seonggeun Jin affiliated with any hospitals?

According to CMS data, Seonggeun Jin is affiliated with Northeast Hospital Corporation.

When was this NPI record last updated?

The NPPES record for Seonggeun Jin was last updated on November 14, 2023. 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.