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MISUN PARK SIM NP
NPI 1639589047
Nurse Practitioner - Adult Health in Pittsburgh, PA

Active since May 07, 2014PECOS EnrolledAccepts Medicare Assignment
3000 PARK LANE DRIVE, PITTSBURGH, PA 15275(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2024, Jul 1, 2021 (2 updates tracked since 2021).

About Misun Park Sim Np NPPES

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

MISUN PARK SIM NP (NPI 1639589047) is an individual adult health provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP013516) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1639589047
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMISUN PARK SIMCredential: NP
Location Address3000 PARK LANE DRIVEPittsburgh, PA 15275-5620
Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059
Phone(773) 292-4800
Fax(312) 564-4059
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 7, 2014
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1639589047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP013516
3000 PARK LANE DRIVE, Pittsburgh, PA 15275
Open in Google Maps ↗

Other Names 1

Former Name (1)Mi Sun Park

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

Misun Park Sim Np 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 ID3476848318
PECOS Enrollment IDI20160817000898
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 Misun Sim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jefferson University Physicians
268 mi
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
NPI 1326093675 (215) 955-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15275 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 3

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

MRS. ERIN L MOEN CRNP
Nurse Practitioner (Adult Health)
3000 PARK LANE DRIVE
PITTSBURGH, PA 15275
Allegheny County (773) 292-4800
DEBORAH A SWIDER M.D.
Family Medicine
3000 PARK LANE DRIVE
PITTSBURGH, PA 15275
Allegheny County (773) 292-4800
DENISE SHANK CRNP
Nurse Practitioner (Family)
3000 PARK LANE DRIVE
PITTSBURGH, PA 15275
Allegheny County (773) 292-4800

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 Misun Sim's NPI number?

The NPI number for Misun Sim is 1639589047. It was assigned to this individual provider in the NPPES registry on May 7, 2014. The provider is also known as Mi Sun Park.

Where is Misun Sim located?

Misun Sim practices at 3000 Park Lane Drive, Pittsburgh, PA 15275. The listed phone number is (773) 292-4800.

What is Misun Sim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Misun Sim enrolled in Medicare?

Yes. Misun Sim 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 organization bills Medicare for Misun Sim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misun Sim reassigns Medicare benefits to Jefferson University Physicians (Philadelphia, PA). 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 Misun Sim'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 Misun Sim was last updated on May 7, 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.