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MS. SU YEON YU ARNP
NPI 1609445295
Nurse Practitioner in Lacey, WA

Active since June 18, 2021PECOS EnrolledAccepts Medicare Assignment
4800 COLLEGE ST SE, LACEY, WA 98503(360) 413-4250 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2023, Jun 18, 2021 (2 updates tracked since 2021).

About Ms. Su Yeon Yu Arnp NPPES

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

MS. SU YEON YU ARNP (NPI 1609445295) is an individual nurse practitioner in Lacey, Washington, licensed in Washington (AP61159886) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609445295
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. SU YEON YUCredential: ARNP
Location Address4800 COLLEGE ST SELacey, WA 98503-4389
Mailing AddressPo Box 3360Portland, OR 97208-3360
Phone(360) 413-4250
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 18, 2021
Last NPPES UpdateFebruary 15, 20232 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
✔ NPI 1609445295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WA · AP61159886
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.
4800 COLLEGE ST SE, Lacey, WA 98503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Ms. Su Yeon Yu Arnp 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 ID8729489331
PECOS Enrollment IDI20210701003530
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services37 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
19 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Mason General Hospital & Family Of Clinics

Critical Access Hospitals · Shelton, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501336
Location901 Mt View DriveShelton, WA 98584 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98503 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers14 claims15 services$184.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JUMAN PARK DPT
Physical Therapist
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
DR. ABRAHAM WUSEOK JEON DO
Family Medicine
4800 COLLEGE ST SE, PMG SW WA LACEY FAM MED
LACEY, WA 98503
Thurston County (360) 486-2900
GRIGORIY A ROZENFELD DO
Emergency Medicine
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
KAREN LEE NEWMAN
Counselor
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 493-5722
IAN SERRATO
Nurse Practitioner (Family)
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 493-4500
MICHAELA JANE DE GROOT PT, DPT
Physical Therapist
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
CARA ELIZABETH BARDWELL PA-C
Physician Assistant
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
STEPHANIE MARY DEMPSEY RN
Registered Nurse
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900

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 Su Yeon Yu's NPI number?

The NPI number for Su Yeon Yu is 1609445295. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Su Yeon Yu located?

Su Yeon Yu practices at 4800 College St SE, Lacey, WA 98503. The listed phone number is (360) 413-4250.

What is Su Yeon Yu's specialty?

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

Is Su Yeon Yu enrolled in Medicare?

Yes. Su Yeon Yu 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 Su Yeon Yu accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Su Yeon Yu 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 Su Yeon Yu affiliated with any hospitals?

According to CMS data, Su Yeon Yu is affiliated with Providence Centralia Hospital and Mason General Hospital & Family Of Clinics.

When was this NPI record last updated?

The NPPES record for Su Yeon Yu was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.