1. Home
  2. Directory
  3. Nebraska
  4. Omaha
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SO YUN PARK GRACE MD
NPI 1699922476
Family Medicine in Omaha, NE

Active since August 22, 2008PECOS EnrolledAccepts Medicare Assignment
8613 N 30TH ST, OMAHA, NE 68112(402) 453-9900(402) 453-5617 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2026, Aug 28, 2019 (2 updates tracked since 2019).

About So Yun Park Grace Md NPPES

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

SO YUN PARK GRACE MD (NPI 1699922476) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (26392) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Chi Health Bergan Mercy, and is a graduate of Albany Medical College Of Union University (2006).

NPPES Registry Identity

NPI1699922476
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSO YUN PARK GRACECredential: MD
Location Address8613 N 30TH STOmaha, NE 68112-1852
Mailing Address8613 N 30th StOmaha, NE 68112-1852 · (402) 453-9900 · Fax (402) 453-5617
Phone(402) 453-9900
Fax(402) 453-5617
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2006
Enumeration DateAugust 22, 2008
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1699922476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 26392
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8613 N 30TH ST, Omaha, NE 68112
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.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

So Yun Park Grace Md 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 ID1355496589
PECOS Enrollment IDI20120222000969
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 8

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
92 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services65 patients
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.
58 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Chi Health Immanuel

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280081
Location6901 North 72nd StOmaha, NE 68122 · Douglas County
Emergency services Birthing friendly

Chi Health Lakeside

Acute Care Hospitals · Omaha, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280130
Location16901 Lakeside Hills CtOmaha, NE 68130 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68112 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 12

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

ALEGENT CREIGHTON HEALTH
Pharmacy (Community/Retail Pharmacy)
8613 N 30TH ST
OMAHA, NE 68112
Douglas County (402) 451-2125
DR. STEPHEN LEE GILLESPIE D.D.S.
Dentist (General Practice)
8613 N 30TH ST, SUITE 103
OMAHA, NE 68112
Douglas County (402) 457-4350
LAURA LINDAUER PA-C
Physician Assistant
8613 N 30TH ST
OMAHA, NE 68112
Douglas County (402) 453-9900
ANDREW CHIDA PA-C
Physician Assistant
8613 N 30TH ST
OMAHA, NE 68112
Douglas County (402) 453-9900
DR. MICHAEL PATRICK GRACE M.D.
Family Medicine
8613 N 30TH ST
OMAHA, NE 68112
Douglas County (402) 453-9900
KELLIE WESTBROOK RD
Nutritionist
8613 N 30TH ST
OMAHA, NE 68112
Douglas County (402) 717-1299
JENNIFER COLLINS RN, CDE
Registered Nurse (Diabetes Educator)
8613 N 30TH ST
OMAHA, NE 68112
Douglas County (402) 593-3575
MR. GERALD ARTHUR SIEVERS B.S.R.PH.,M.B.A.
Pharmacist
8613 N 30TH ST
OMAHA, NE 68112
Douglas County (402) 451-2125

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 So Yun Grace's NPI number?

The NPI number for So Yun Grace is 1699922476. It was assigned to this individual provider in the NPPES registry on August 22, 2008.

Where is So Yun Grace located?

So Yun Grace practices at 8613 N 30th St, Omaha, NE 68112. The listed phone number is (402) 453-9900.

What is So Yun Grace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is So Yun Grace enrolled in Medicare?

Yes. So Yun Grace 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 So Yun Grace accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list So Yun Grace 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.

Is So Yun Grace affiliated with any hospitals?

According to CMS data, So Yun Grace is affiliated with Chi Health Bergan Mercy, Chi Health Immanuel and Chi Health Lakeside.

When was this NPI record last updated?

The NPPES record for So Yun Grace was last updated on July 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.