MR. PETER K SHIN PMHNP-BC
NPI 1689950438
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since October 25, 2011PECOS EnrolledAccepts Medicare Assignment
1529 S WESTGATE AVE, LOS ANGELES, CA 90025(714) 882-0020 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Peter K Shin Pmhnp-bc NPPES

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

MR. PETER K SHIN PMHNP-BC (NPI 1689950438) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95029073) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS and is a graduate of National Medical University (2023).

NPPES Registry Identity

NPI1689950438
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. PETER K SHINCredential: PMHNP-BC
Location Address1529 S WESTGATE AVELos Angeles, CA 90025-2898
Mailing Address1529 S Westgate AveLos Angeles, CA 90025-2898 · (714) 882-0020
Sole ProprietorYes
Medical School CMSNational Medical UniversityGraduated 2023
Enumeration DateOctober 25, 2011
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 5, 2024
NPI 1689950438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95029073
1529 S WESTGATE AVE, Los Angeles, CA 90025

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

Mr. Peter K Shin Pmhnp-bc 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 ID6901244581
PECOS Enrollment IDI20240402000498
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 Peter Shin's NPI number?

The NPI number for Peter Shin is 1689950438. It was assigned to this individual provider in the NPPES registry on October 25, 2011.

Where is Peter Shin located?

Peter Shin practices at 1529 S Westgate Ave, Los Angeles, CA 90025. The listed phone number is (714) 882-0020.

What is Peter Shin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Peter Shin enrolled in Medicare?

Yes. Peter Shin 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.

When was this NPI record last updated?

The NPPES record for Peter Shin was last updated on February 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.