Individual provider Active NPI

Yan Golub, NP

  • Family Nurse Practitioner
  • Burien, WA
National Provider Identifier
1124807748
Registry record updated Oct 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61462709 Issued in WA
Practice address
16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone
(253) 880-4073
NPI assigned
Sep 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61462709 WA Primary

Addresses

Primary practice location

16251 Sylvester Rd SW
Burien, WA 98166-3017

Mailing address

437 W 6TH St Apt 5
Erie, PA 16507-1231
Phone (253) 880-4073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231009000356 PA Practitioner - Nurse Practitioner 8022463223 Reassigns benefits to 1 organization
I20240807003613 WA Practitioner - Nurse Practitioner 8022463223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highline Emergency Physicians PLLCGroup PAC ID 0547436313, 19 clinicians

Practice addresses (Care Compare)

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 431-5314

Hospital & facility affiliations

  • Highline Medical Center Hospital, Burien, WA, CCN 500011

Merit-based Incentive Payment System (MIPS)

Final score
82.72 of 100Reported as group
Quality
67.35
Improvement activities
40
Cost
85.26

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
75.58
Improvement activities
40
Cost
72.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61462709WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renu Wound Solutions PLLC CurrentSince Oct 14, 2025 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Sep 22, 2023 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Sep 22, 2023 Accepting new patients
Highline Emergency Physicians PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

12844 Military Rd S
Tukwila, WA 98168
Phone (206) 244-0180

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728086400000",
    "number": "1124807748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 W 6TH ST APT 5",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071231",
            "telephone_number": "253-880-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16251 SYLVESTER RD SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663017",
            "telephone_number": "253-880-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUB",
        "first_name": "YAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61462709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.