SANGHEE KWEON – Psychiatric/Mental Health Nurse Practitioner, NPI 1720457427

SANGHEE KWEON is a healthcare provider. based in Salt lake city, Utah. specializing in NURSE PRACTITIONER. They hold a License No. 7666569-4405 (UT). The NPI Number for SANGHEE KWEON is 1720457427

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SANGHEE KWEON
NPI
1720457427
Phone
(888) 949-4864
Address
1020 S MAIN ST STE 100
Enumeration Date
23 September 2015
Last Update Date
16 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8019382057
Graduation Year
2019 (7 years ago)
PAC ID
2860828647
Group Practice PAC ID
0042121196
Professional Enrollment ID
I20200214002002
Address ID
UT841013195SA1020XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Digital endpointsOther names

2,657 NURSE PRACTITIONER in UT

Provider Addresses for SANGHEE KWEON

  • 1020 S MAIN ST STE 100

    SALT LAKE CITY, UT 841013194

    Phone: (888) 949-4864

    Type: Location

  • PO BOX 572070

    MURRAY, UT 841572070

    Phone: (801) 263-7138

    Type: Mailing

  • 3737 W 4100 S

    WEST VALLEY CITY, UT 841205543

    Phone: (888) 949-4864

    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: 2020-02-14

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
I20200214002002INurse PractitionerUTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes26941$0
View full utilization report →

Insurance plans in this area (ZIP 84101)

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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: 0042121196View full group profile

Reviews

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Frequently asked questions

What is the standard ID for SANGHEE KWEON in the U.S.?
In the U.S., SANGHEE KWEON is identified by NPI 1720457427.
Does the public listing show SANGHEE KWEON as active?
SANGHEE KWEON's NPI record reflects an active status in NPPES.
How should patients interpret SANGHEE KWEON's specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for SANGHEE KWEON. Clinical services aligned with this taxonomy classification.
Is SANGHEE KWEON tied to Salt Lake City, Utah?
If you are local to Salt Lake City, Utah, SANGHEE KWEON may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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