Ju Young Shin, PHD, APRN, ANP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

LB0000273 Issued in DE

Practice address

726 Loveville Rd
Hockessin, DE 19707-1515

Phone

(302) 235-6026

NPI assigned

Nov 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acts Retirement-Life Communities IncGroup PAC ID 1951212380, 34 clinicians

Acts Signature Community Services IncGroup PAC ID 5092032284, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juyoung.shinnp.p1@direct.actslife.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Acts Retirement-Life Communities, Inc.

  • Internal Medicine Physician
  • Hockessin, DE
  • NPI 1063380608
  Medicare reassignment Care Compare group NPD
• Acts Signature Community Services, Inc.

  • Internal Medicine Physician
  • Hockessin, DE
  • NPI 1518962315
  Medicare reassignment Care Compare group NPD
• Acts Retirement-Life Communities, Inc.

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1245108877
  NPD
• Acts Signature Community Services, Inc.

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1063805315
  NPD
• Acts Signature Community Services, Inc.

  • Internal Medicine Physician
  • Spanish Fort, AL
  • NPI 1427756303
  NPD

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1295079929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 LOVEVILLE RD",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197071515",
            "telephone_number": "302-235-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 LOVEVILLE RD",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197071515",
            "telephone_number": "302-235-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JU YOUNG",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LB0000273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Schoenfeld
• Eric Schwarz, DO
• Seniortech, Inc.
• Raveena Patel Sheats
• Taylor Leigh Shelley, DPT
• Maryann Slowik, P.T.
• Douglas James Smith, LMSW
• Sparkly Life Health Coaching Inc
• Sparkly Life Health Coaching Inc
• Sparkly Life Health Coaching Inc

• Adult Health Nurse Practitioner in Hockessin, DE
• Providers in Hockessin, DE by specialty
• Adult Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.