1. Home
  2. Directory
  3. Missouri
  4. Florissant
  5. Nurse Practitioner
  6. NPI Profile

MS. SO YOUN YOUN KIM-SHEPHERD FNP
NPI 1831148469
Nurse Practitioner in Florissant, MO

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
1225 GRAHAM RD, DEPT EMERGENCY MEDICINE, FLORISSANT, MO 63031(314) 362-9123(314) 747-9160 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. So Youn Youn Kim-shepherd Fnp NPPES

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

MS. SO YOUN YOUN KIM-SHEPHERD FNP (NPI 1831148469) is an individual nurse practitioner in Florissant, Missouri, licensed in Missouri (110189) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1831148469
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. SO YOUN YOUN KIM-SHEPHERDCredential: FNP
Location Address1225 GRAHAM RD, DEPT EMERGENCY MEDICINEFlorissant, MO 63031-8012
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-9123 · Fax (314) 747-9160
Phone(314) 362-9123
Fax(314) 747-9160
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 14, 2025
✔ NPI 1831148469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 110189
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1225 GRAHAM RD, Florissant, MO 63031
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. So Youn Youn Kim-shepherd Fnp 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 ID4587616149
PECOS Enrollment IDI20050211000609
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.

Medicare Billing Reassignments

8

Medicare enrollment records show So Youn Kim-shepherd reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington University Community Specialists, LLC
5.2 mi
Emergency Care
11133 DUNN RD
Saint Louis, MO 63136
  • Reassigned Medicare billing, Missouri enrollment
  • 114 clinicians in this Medicare group
NPI 1922812254 (314) 632-9123
Cep America LLC
5.6 mi
Emergency Medicine
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 269 clinicians in this Medicare group
NPI 1851946370 (314) 344-6000
Ssm Health Care St. Louis
5.6 mi
Cardiovascular Disease
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1376598599 (314) 344-6000
Washington University
11 mi
Emergency Care
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 156 clinicians in this Medicare group
NPI 1104866656 (314) 747-4873
Southeastern Emergency Physicians Of Memphis LLC
13 mi
Emergency Medicine
1 MEMORIAL DR
Alton, IL 62002
  • Reassigned Medicare billing, Missouri enrollment
  • 343 clinicians in this Medicare group
NPI 1437105277 (618) 463-7474
Cepamerica Illinois LLP
23 mi
Emergency Medicine
4500 MEMORIAL DR
Belleville, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
NPI 1992082689 (618) 233-7750
Vituity - Illinois Auc LLP
26 mi
Emergency Medicine
1512 N GREEN MOUNT RD
O Fallon, IL 62269
  • Reassigned Medicare billing, Illinois enrollment
  • 119 clinicians in this Medicare group
NPI 1487142022 (618) 624-3750
Southeastern Emergency Services Of Memphis, P.C.
380 mi
Emergency Medicine
910 BLACKFORD ST
Chattanooga, TN 37403
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Southeastern Emergency Services Of Memphis PC
  • 89 clinicians in this Medicare group
NPI 1164454450 (865) 693-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
68 services66 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63031 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 20

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

MS. LAURA M GRAMOLINO FNP-C
Nurse Practitioner (Family)
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 953-6994
REBECCA V RUGEN
Internal Medicine
1225 GRAHAM RD, STE 2320C
FLORISSANT, MO 63031
St. Louis County (314) 953-6801
PHYSICIAN GROUPS LC
Clinic/Center (Primary Care)
1225 GRAHAM RD, SUITE 220
FLORISSANT, MO 63031
St. Louis County (314) 838-6700
MAURICE EDWARD JONES
Community Health Worker
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 206-3900
MS. JAVDA MIASHA WILSON FNP
Nurse Practitioner
1225 GRAHAM RD, DEPT EMERGENCY MEDICINE
FLORISSANT, MO 63031
St. Louis County (314) 362-9123
LISA KEATING BURRIS PA
Student in an Organized Health Care Education/Training Program
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 953-6000
MS. ALISSA LEIGH STRUBLE FNP
Nurse Practitioner
1225 GRAHAM RD, DEPT EMERGENCY MEDICINE
FLORISSANT, MO 63031
St. Louis County (314) 362-9123
DORIS J TRIBUNE BROWN DO
Family Medicine
1225 GRAHAM RD, SUITE 2320C
FLORISSANT, MO 63031
St. Louis County (314) 831-6883

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 Youn Kim-shepherd's NPI number?

The NPI number for So Youn Kim-shepherd is 1831148469. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is So Youn Kim-shepherd located?

So Youn Kim-shepherd practices at 1225 Graham Rd Dept Emergency Medicine, Florissant, MO 63031. The listed phone number is (314) 362-9123.

What is So Youn Kim-shepherd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is So Youn Kim-shepherd enrolled in Medicare?

Yes. So Youn Kim-shepherd 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.

Which organizations bill Medicare for So Youn Kim-shepherd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), So Youn Kim-shepherd reassigns Medicare benefits to 8 organizations: Washington University Community Specialists, LLC (Saint Louis, MO), Cep America LLC (Bridgeton, MO), Ssm Health Care St. Louis (Bridgeton, MO), Washington University (Saint Louis, MO), Southeastern Emergency Physicians Of Memphis LLC (Alton, IL) and 3 more organizations, listed in the Medicare section above. 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 So Youn Kim-shepherd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does So Youn Kim-shepherd accept?

Health plans from UnitedHealthcare list So Youn Kim-shepherd 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 Youn Kim-shepherd affiliated with any hospitals?

According to CMS data, So Youn Kim-shepherd is affiliated with Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for So Youn Kim-shepherd was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.