DANIELLE TAEWON UM MSN RN APRN AGPCNP-C
NPI 1508493974
Nurse Practitioner in Johns Creek, GA

Active since March 25, 2020PECOS Enrolled
75/100
CMS Quality Rating
10680 MEDLOCK BRIDGE RD STE 102, JOHNS CREEK, GA 30097(770) 389-9116 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 23, 2020, Aug 10, 2020, Mar 25, 2020 (3 updates tracked since 2020).

About Danielle Taewon Um Msn Rn Aprn Agpcnp-c NPPES

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

DANIELLE TAEWON UM MSN RN APRN AGPCNP-C (NPI 1508493974) is an individual nurse practitioner in Johns Creek, Georgia, licensed in Georgia (RN298325) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508493974
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDANIELLE TAEWON UMCredential: MSN RN APRN AGPCNP-C
Location Address10680 MEDLOCK BRIDGE RD STE 102Johns Creek, GA 30097-8420
Mailing Address6050 Roswell Rd Apt 219Sandy Springs, GA 30328-4090 · (917) 674-8177
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateNovember 23, 20203 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
✔ NPI 1508493974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in GA · RN298325✔ Licensed in NY · 309735
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 743547 (NY), RN298325 (GA)
10680 MEDLOCK BRIDGE RD STE 102, Johns Creek, GA 30097

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Taewon Um Msn Rn Aprn Agpcnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Danielle Um reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
1215 EAGLES LANDING PARKWAY, SUITE 205
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, Georgia enrollment
  • 79 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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
6,006 services625 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,477 services254 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
366 services363 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30097 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES

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

Nurse Practitioner
10680 MEDLOCK BRIDGE RD STE 102
JOHNS CREEK, GA 30097

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 Danielle Um's NPI number?

The NPI number for Danielle Um is 1508493974. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Danielle Um located?

Danielle Um practices at 10680 Medlock Bridge Rd Ste 102, Johns Creek, GA 30097. The listed phone number is (770) 389-9116.

What is Danielle Um's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Danielle Um enrolled in Medicare?

Yes. Danielle Um is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Danielle Um's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Um reassigns Medicare benefits to 2 organizations: Dermatology & Skin Cancer Prevention Center, Inc. (Stockbridge, GA) and Infinite Medical PC (Bristol, RI). 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 Danielle Um'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 Danielle Um was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.