MIJIN HAN – Nurse Practitioner, NPI 1053922898

MIJIN HAN is a healthcare provider. based in Maple valley, Washington. specializing in Nurse Practitioner. They hold a License No. 61081273 (WA). The NPI Number for MIJIN HAN is 1053922898

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MIJIN HAN
NPI
1053922898
Phone
(888) 674-5871
Address
23745 225TH WAY SE STE 201
Enumeration Date
14 August 2020
Last Update Date
14 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8886745871
Graduation Year
2020 (6 years ago)
PAC ID
6709203946
Group Practice PAC ID
1557790896
Professional Enrollment ID
I20200902000764
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

Provider Addresses for MIJIN HAN

  • 23745 225TH WAY SE STE 201

    MAPLE VALLEY, WA 980385294

    Phone: (888) 674-5871

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 98038)

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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: 1557790896View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MIJIN HAN?
NPI 1053922898 is assigned to MIJIN HAN under the national enumeration system.
Is MIJIN HAN currently active in the NPI registry?
CMS-published data lists MIJIN HAN as an active registrant.
Does MIJIN HAN list a primary specialty?
If you are matching referrals, note Nurse Practitioner for MIJIN HAN. Clinical services aligned with this taxonomy classification.
What location shows for MIJIN HAN?
We surface Maple Valley, Washington for MIJIN HAN based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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