Individual provider Active NPI

Sook Yun Owen

  • Adult Health Nurse Practitioner
  • Bullhead City, AZ
National Provider Identifier
1023348885
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP3521 Issued in AZ
Practice address
1648 Highway 95
Bullhead City, AZ 86442-7906
Phone
(928) 758-4114
Fax
(928) 758-4650
NPI assigned
Dec 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP3521 AZ Primary

Addresses

Primary practice location

1648 Highway 95
Bullhead City, AZ 86442-7906

Mailing address

2777 S Karla Dr
Yuma, AZ 85365-3295
Phone (928) 788-2488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120314000042 AZ Practitioner - Nurse Practitioner 6002075835 Reassigns benefits to 2 organizations
I20131206000249 NV Practitioner - Nurse Practitioner 6002075835 Reassigns benefits to 1 organization
I20250303002807 TX Practitioner - Nurse Practitioner 6002075835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 N Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646

Merit-based Incentive Payment System (MIPS)

Final score
99.61 of 100Reported as group
Quality
100
Improvement activities
40
Cost
88.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winslow Indian Health Care Center, Inc CurrentSince Apr 7, 2025 Accepting new patients
Winslow Indian Health Care Group CurrentSince Apr 7, 2025 Accepting new patients
Dilkon Medical Center Current Accepting new patients
Apogee Medical Group Inc CurrentSince Feb 10, 2015 Accepting new patients
Apogee Medical Group Inc CurrentSince Feb 10, 2015 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince Apr 23, 2019 Accepting new patients
Easy Health Medical Solutions PC CurrentSince Oct 1, 2024 Accepting new patients
Winslow Indian Health Care Center, Inc Current Accepting new patients

Locations

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

560 W Brown Rd
Ste 3A1
Mesa, AZ 85201

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

500 Indiana Ave
Winslow, AZ 86047

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1023348885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 S KARLA DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653295",
            "telephone_number": "928-788-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 HIGHWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427906",
            "telephone_number": "928-758-4114",
            "fax_number": "928-758-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "SOOK",
        "middle_name": "YUN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP3521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.