JAHOON KOO (ACNPC-AG) – Acute Care Nurse Practitioner, NPI 1629554209
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,869 NURSE PRACTITIONER in ME
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Provider Addresses for JAHOON KOO (ACNPC-AG)
Calais 24, Calais, Pas-de-Calais, Hauts-de-France, Metropolitan France, 62100, France
CALAIS, ME 04619
Phone: (207) 454-7521
Type: Location
12111 W BELOIT RD APT 6
GREENFIELD, WI 532281910
Phone: (262) 709-6597
Type: Mailing
1120 PINE ST
STANLEY, WI 547681297
Phone: (800) 643-0554
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201028000989 | I | Nurse Practitioner | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 20 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 56 | 27 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 39 | 16 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 34 | 31 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 29 | 11 | $0 |
Insurance plans in this area (ZIP 04619)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| - | WI | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | WI | |
| Internal Medicine, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | NJ | |
| - | WI | |
| - | WI | |
| General Surgery | WI | |
| - | WI | |
| Nurse Practitioner | WI |
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