STACEY JEEMIN AHN NURSE PRACTITIONER - NPI 1518798644 - Family Medicine in Beverly Hills, CA

Q: What is Stacey Ahn's NPI number?

The NPI number for Stacey Ahn is 1518798644. It was assigned to this individual provider in the NPPES registry on August 10, 2024.

Q: What is Stacey Ahn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Ahn was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

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About Stacey Jeemin Ahn Nurse Practitioner NPPES

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

STACEY JEEMIN AHN NURSE PRACTITIONER (NPI 1518798644) is an individual family medicine provider in Beverly Hills, California, licensed in California (95029581) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518798644

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTACEY JEEMIN AHNCredential: NURSE PRACTITIONER

Location Address414 N CAMDEN DR STE 1100Beverly Hills, CA 90210-4517

Mailing Address333 S La Fayette Park Pl Apt 125Los Angeles, CA 90057-1618 · (714) 336-9698

Phone(310) 278-3400

Sole ProprietorNo

Enumeration DateAugust 10, 2024

Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration

NPPES CertifiedAugust 20, 2025

✔ NPI 1518798644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 95029581

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

414 N CAMDEN DR STE 1100, Beverly Hills, CA 90210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Jeemin Ahn Nurse Practitioner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90210 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 5

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

MADISON RYAN BALACHIO PA

Physician Assistant (Medical)