KYUNGHEE SEO (FNP) – Psychiatric/Mental Health Registered Nurse, NPI 1073903100
Psychiatric/Mental Health Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for KYUNGHEE SEO (FNP)
5965 S 900 E
SALT LAKE CITY, UT 841211720
Phone: (801) 263-7138
Type: Mailing
3520 96TH ST S STE 109
LAKEWOOD, WA 984999251
Phone: (801) 602-2645
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $115.
Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($34).
Total Amount
$115
General + Research + Ownership
Payments
5
Total payment records
General Amount
$115
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-05-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20150612001117 | I | Nurse Practitioner | UT | TBD |
| I20170710002159 | I | Nurse Practitioner | TX | TBD |
| I20250522002385 | I | Nurse Practitioner | WA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 42 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 16 | 15 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 13 | 11 | $0 |
Insurance plans in this area (ZIP 84121)
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