MRS. MYUNG C AHN – Adult Health Nurse Practitioner, NPI 1184875221

MRS. MYUNG C AHN is a healthcare provider. based in Port washington, New York. specializing in NURSE PRACTITIONER. They hold a License No. 304602 (NY). The NPI Number for MRS. MYUNG C AHN is 1184875221

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MYUNG C AHN
NPI
1184875221
Phone
(516) 767-3455
Address
9 DELAWARE AVE
Enumeration Date
7 October 2008
Last Update Date
8 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7186705486
Graduation Year
2007 (19 years ago)
PAC ID
3072804202
Group Practice PAC ID
2668367483
Professional Enrollment ID
I20160620001137
Address ID
NY113552205FL4500XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

17,004 NURSE PRACTITIONER in NY

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Provider Addresses for MRS. MYUNG C AHN

  • 9, Delaware Avenue, North Hempstead, Nassau County, New York, 11050, United States

    PORT WASHINGTON

    PORT WASHINGTON, NY 110502903

    Phone: (516) 767-3455

    Type: Mailing

  • Parsons Boulevard, Flushing, Queens, New York, 11354, United States

    FLUSHING, NY 113552205

    Phone: (718) 670-5790

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $1,422.

Total Amount is formed as General ($1,422) + Research ($0) + Ownership ($0) = $1,422.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($477).

Total Amount

$1,422

General + Research + Ownership

Payments

14

Total payment records

General Amount

$1,422

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-06-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160620001137INurse PractitionerNYTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 11050)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668367483View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)NY
-NY
P A T H O L O G YNY
O T O L A R Y N G O L O G YNY
P A T H O L O G YNY
Physician AssistantNY
Internal MedicineNY
-NY
-NY
-NY

Reviews

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Frequently asked questions

How is MRS. MYUNG C AHN identified in CMS data?
CMS-hosted NPPES data lists MRS. MYUNG C AHN with NPI 1184875221.
Can I rely on MRS. MYUNG C AHN being an active provider?
As of the registry snapshot, MRS. MYUNG C AHN is marked active.
What taxonomy line describes MRS. MYUNG C AHN?
For research purposes, treat MRS. MYUNG C AHN as Adult Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does MRS. MYUNG C AHN serve?
MRS. MYUNG C AHN's listing highlights Port Washington, New York; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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