Active NPI
Mikyung Chung, CRNA
- Certified Registered Nurse Anesthetist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60821954
- Practice address
- 1100 9TH Ave
Seattle, WA 98101-2756 - Phone
- (206) 223-6600
- NPI assigned
- Jun 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | L6-0A00675 | DE | |
| Certified Registered Nurse Anesthetist | 367500000X | AP60821954 | WA | Primary |
Addresses
Primary practice location
1100 9TH Ave
Seattle, WA 98101-2756
Mailing address
1100 9TH Ave
M4-PFS
Seattle, WA 98101-2756
Phone (206) 515-5811
Other practice location 1
801 Middleford Road
Seaford, DE 19973
Phone (800) 437-2672
Other practice location 2
801 Middleford Road
Seaford, DE 19973
Phone (800) 437-2672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104147289 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-3611
15630 18TH Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486
Hospital & facility affiliations
- Adventist Health Clearlake
- Adventist Health St Helena
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.74 of 100
- Quality
- 94
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 65.12
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.91 of 100
- Quality
- 75.49
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 73.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6-0A00675 | DE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Helena Hospital | Current | Accepting new patients | |
| Mai Nursing Anesthesia PC | Current | Accepting new patients | |
| Lyons Huber Management | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Helena Hospital | Current | Accepting new patients |
Locations
429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000
15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820
3365 Solano Ave
Napa, CA 94558
Phone (707) 266-6878
1700 San Pablo Ave
Ste D
Pinole, CA 94564
Phone (510) 724-9500
6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294
10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002
3003 Paul Sweet Rd
Santa Cruz, CA 95065
Phone (831) 462-1607
3540 Mendocino Ave
Ste 200
Santa Rosa, CA 95403
Phone (707) 522-6200
2160 W Grant Line Rd
Ste 120
Tracy, CA 95377
Phone (209) 832-2095
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Clearlake, CA
- NPI 1891370854
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Saint Helena, CA
- NPI 1720078082
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1003572769
-
- Psychiatric Hospital
- Vallejo, CA
- NPI 1851381990
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
-
- General Acute Care Hospital
- Saint Helena, CA
- NPI 1720078082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1104147289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"address_2": "M4-PFS",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-515-5811",
"fax_number": "206-341-0274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-223-6600"
}
],
"practiceLocations": [
{
"address_1": "801 Middleford Road",
"address_purpose": "LOCATION",
"city": "Seaford",
"state": "DE",
"postal_code": "19973",
"country_code": "US",
"telephone_number": "800-437-2672",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Middleford Road",
"address_purpose": "LOCATION",
"city": "Seaford",
"state": "DE",
"postal_code": "19973",
"country_code": "US",
"telephone_number": "800-437-2672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUNG",
"first_name": "MIKYUNG",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-12",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DE",
"license": "L6-0A00675",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60821954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104147289",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.