KELVIN MIN SOO SIN
NPI 1629650932
Nurse Practitioner in Loma Linda, CA

Active since April 26, 2021PECOS EnrolledAccepts Medicare Assignment
11262 CAMPUS ST, LOMA LINDA, CA 92350(909) 558-1000 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2023, May 3, 2023, Apr 26, 2021 (3 updates tracked since 2021).

About Kelvin Min Soo Sin NPPES

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

KELVIN MIN SOO SIN (NPI 1629650932) is an individual nurse practitioner in Loma Linda, California, licensed in California (95024334) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629650932
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKELVIN MIN SOO SIN
Location Address11262 CAMPUS STLoma Linda, CA 92350-1727
Mailing Address11262 Campus StLoma Linda, CA 92350-1727 · (909) 558-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 26, 2021
Last NPPES UpdateOctober 25, 20243 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1629650932 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 CA · 95024334
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.
11262 CAMPUS ST, Loma Linda, CA 92350

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelvin Min Soo Sin 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 ID9335504687
PECOS Enrollment IDI20230420002407
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

3

Medicare enrollment records show Kelvin Sin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
11234 ANDERSON ST, STE. A233
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
Emergency Medical Services
16850 BEAR VALLEY RD
Victorville, CA 92395
  • Reassigned Medicare billing, California enrollment
  • 53 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 3

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.
34 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92350 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 20

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

Nurse Practitioner
11262 CAMPUS ST
LOMA LINDA, CA 92350
Pharmacist
11262 CAMPUS ST, SCHOOL OF PHARMACY
LOMA LINDA, CA 92350
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
Nurse Practitioner (Acute Care)
11262 CAMPUS ST
LOMA LINDA, CA 92350
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
Registered Nurse
11262 CAMPUS ST
LOMA LINDA, CA 92350

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 Kelvin Sin's NPI number?

The NPI number for Kelvin Sin is 1629650932. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Kelvin Sin located?

Kelvin Sin practices at 11262 Campus St, Loma Linda, CA 92350. The listed phone number is (909) 558-1000.

What is Kelvin Sin's specialty?

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

Is Kelvin Sin enrolled in Medicare?

Yes. Kelvin Sin 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.

Which organizations bill Medicare for Kelvin Sin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelvin Sin reassigns Medicare benefits to 3 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA), Southern California Permanente Medical Group (Fontana, CA) and Ignite Emergency Physicians A Medical Corporation (Victorville, CA). 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 Kelvin Sin'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 Kelvin Sin was last updated on October 25, 2024. 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.