YE JI SHIN DNP
NPI 1659921542
Nurse Practitioner in Phoenix, AZ
About Ye Ji Shin Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YE JI SHIN DNP (NPI 1659921542) is an individual nurse practitioner in Phoenix, Arizona, licensed in Arizona (231180) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ye Ji Shin Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ye Ji Shin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85015
- Reassigned Medicare billing, Arizona enrollment
- 321 clinicians in this Medicare group
Scottsdale, AZ 85255
- Reassigned Medicare billing, Arizona enrollment
- 30 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Ye Ji Shin's NPI number?
The NPI number for Ye Ji Shin is 1659921542. It was assigned to this individual provider in the NPPES registry on September 13, 2019.
Where is Ye Ji Shin located?
Ye Ji Shin practices at 5018 N 7th St, Phoenix, AZ 85014. The listed phone number is (602) 255-7680.
What is Ye Ji Shin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Ye Ji Shin enrolled in Medicare?
Yes. Ye Ji Shin is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ye Ji Shin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ye Ji Shin reassigns Medicare benefits to 2 organizations: Good Health Medical, PLLC (Phoenix, AZ) and Richard Lee Averitte Jr PLLC (Scottsdale, AZ). 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 Ye Ji Shin'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 Ye Ji Shin was last updated on February 16, 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.
# Ye Ji Shin, DNP · NPI 1659921542
Nurse Practitioner physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since September 13, 2019.
## Identity
- **NPI:** 1659921542 (Entity type: Individual)
- **Enumerated:** September 13, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 231180 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5018 N 7TH ST, Phoenix, AZ 85014-3101
- **Phone:** (602) 255-7680
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Good Health Medical, PLLC (NPI 1588411367, Phoenix, AZ); Richard Lee Averitte Jr PLLC (NPI 1407804115, Scottsdale, AZ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659921542) · Data from the CMS NPPES public registry.