1. Home
  2. Directory
  3. New York
  4. Flushing
  5. Nurse Practitioner
  6. NPI Profile

SU JIN SEO
NPI 1962894931
Nurse Practitioner - Adult Health in Flushing, NY

Active since February 26, 2015PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
13909 28TH RD, APT 6C, FLUSHING, NY 11354(718) 216-5455 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Su Jin Seo NPPES

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

SU JIN SEO (NPI 1962894931) is an individual adult health provider in Flushing, New York, licensed in New York (F307204) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962894931
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSU JIN SEO
Location Address13909 28TH RD, APT 6CFlushing, NY 11354-1848
Mailing Address13909 28th Rd, Apt 6cFlushing, NY 11354-1848 · (718) 216-5455
Phone(718) 216-5455
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 26, 2015
✔ NPI 1962894931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F307204
13909 28TH RD, Flushing, NY 11354
Open in Google Maps ↗

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

Su Jin Seo 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 ID3678891405
PECOS Enrollment IDI20150407002049
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

2

Medicare enrollment records show Su Jin Seo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nova Medical PLLC
1.5 mi
Internal Medicine
16331 26TH AVE
Flushing, NY 11358
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
NPI 1982984019 (917) 650-5017
North Shore - Lij Medical PC
6.4 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

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 7

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.
147 services133 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
46 services46 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.
42 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
39 services38 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
37 services37 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.
31 services30 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11354 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES

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

MARGARET CLAIRE HANNIGAN
Counselor
13909 28TH RD
FLUSHING, NY 11354
Queens County (718) 886-0985

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 Su Jin Seo's NPI number?

The NPI number for Su Jin Seo is 1962894931. It was assigned to this individual provider in the NPPES registry on February 26, 2015.

Where is Su Jin Seo located?

Su Jin Seo practices at 13909 28th Rd Apt 6C, Flushing, NY 11354. The listed phone number is (718) 216-5455.

What is Su Jin Seo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Su Jin Seo enrolled in Medicare?

Yes. Su Jin Seo 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 Su Jin Seo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Su Jin Seo reassigns Medicare benefits to 2 organizations: Nova Medical PLLC (Flushing, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). 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 Su Jin Seo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Su Jin Seo affiliated with any hospitals?

According to CMS data, Su Jin Seo is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Su Jin Seo was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.