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

Q: 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.

Q: What is Su Yeon Yu's specialty?

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

Q: 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.

Active since June 18, 2021PECOS Enrolled

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: October 18, 2026.

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

On this page

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.

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

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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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Su Yeon Yu Arnp 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 Reassignment

Medicare enrollment records show Su Yeon Yu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Health & Services Washington

3.6 mi

Family Medicine

525 LILLY RD NE
Olympia, WA 98506

Reassigned Medicare billing, Washington enrollment
646 clinicians in this Medicare group

NPI 1174744304 (360) 793-7230

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.

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

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 enrollment system.

Which organization bills Medicare for Su Yeon Yu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Su Yeon Yu reassigns Medicare benefits to Providence Health & Services Washington (Olympia, WA). The 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 Su Yeon Yu'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 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.