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GRACE STAR RYU FNP
NPI 1700766938
Nurse Practitioner - Family in Buena Park, CA

Active since September 08, 2025PECOS Enrolled
63 CANDLEWOOD WAY, BUENA PARK, CA 90621(310) 227-0653 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grace Star Ryu Fnp NPPES

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

GRACE STAR RYU FNP (NPI 1700766938) is an individual family provider in Buena Park, California, licensed in California (95036897) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1700766938
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACE STAR RYUCredential: FNP
Location Address63 CANDLEWOOD WAYBuena Park, CA 90621-1005
Mailing Address63 Candlewood WayBuena Park, CA 90621-1005
Phone(310) 227-0653
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 7, 2025
✔ NPI 1700766938 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
License✔ Licensed in CA · 95036897

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Star Ryu Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153898127
PECOS Enrollment IDI20260427003354
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 90621 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 Grace Ryu's NPI number?

The NPI number for Grace Ryu is 1700766938. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Grace Ryu located?

Grace Ryu practices at 63 Candlewood Way, Buena Park, CA 90621. The listed phone number is (310) 227-0653.

What is Grace Ryu's specialty?

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

Is Grace Ryu enrolled in Medicare?

Yes. Grace Ryu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Ryu was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.