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SONG I BAEK
NPI 1679020119
Nurse Practitioner - Family in Elkhart, IN

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
1004 PARKWAY AVE STE E, ELKHART, IN 46516(574) 218-7131 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2023, Oct 18, 2023, Apr 25, 2018 and 1 more (4 updates tracked since 2016).

About Song I Baek NPPES

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

SONG I BAEK (NPI 1679020119) is an individual family provider in Elkhart, Indiana, licensed in Indiana (71006583A) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2016).

NPPES Registry Identity

NPI1679020119
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSONG I BAEK
Location Address1004 PARKWAY AVE STE EElkhart, IN 46516-9349
Mailing Address1004 Parkway Ave Ste EElkhart, IN 46516-9349 · (574) 218-7131
Phone(574) 218-7131
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2016
Enumeration DateSeptember 1, 2016
Last NPPES UpdateSeptember 24, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1679020119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IN · 71006583A✔ Licensed in IN · 28231893A
1004 PARKWAY AVE STE E, Elkhart, IN 46516
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Song I Baek 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 ID2163701160
PECOS Enrollment IDI20161115001906
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

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.
74 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46516 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Song Baek's NPI number?

The NPI number for Song Baek is 1679020119. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Song Baek located?

Song Baek practices at 1004 Parkway Ave Ste E, Elkhart, IN 46516. The listed phone number is (574) 218-7131.

What is Song Baek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Song Baek enrolled in Medicare?

Yes. Song Baek 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 Song Baek accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Song Baek 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.

When was this NPI record last updated?

The NPPES record for Song Baek was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.