Individual provider Active NPI

Ji Young Byun, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1295113199
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP10293 Issued in AZ
Practice address
13060 W Bell Rd
Surprise, AZ 85378-1200
Phone
(623) 499-9100
Fax
(623) 267-5060
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP10293 AZ Primary

Addresses

Primary practice location

13060 W Bell Rd
Surprise, AZ 85378-1200

Mailing address

13060 W Bell Rd
Surprise, AZ 85378-1200
Phone (623) 499-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20230201001606 AZ Practitioner - Nurse Practitioner 5799097788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leading Healthcare PLLCGroup PAC ID 1850652496, 42 clinicians

Practice addresses (Care Compare)

13060 W Bell Rd
Surprise, AZ 85378-1200
Phone (623) 295-1190

13575 W McDowell Rd
Goodyear, AZ 85395-2604
Phone (623) 536-9911

Hospital & facility affiliations

  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
  • Mayo Clinic Hospital Hospital, Phoenix, AZ, CCN 030103
  • Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092

Merit-based Incentive Payment System (MIPS)

Final score
76.42 of 100Reported as apm
Quality
55.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10293AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Healthcare, LLC Acute Care CurrentSince Oct 26, 2022 Accepting new patients

Locations

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

13575 W McDowell Rd
Goodyear, AZ 85395
Phone (347) 309-3320

13060 W Bell Rd
Surprise, AZ 85378
Phone (623) 499-9100

Organizations & group practices 1

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 4

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1295113199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13060 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853781200",
            "telephone_number": "623-499-9100",
            "fax_number": "623-267-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13060 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853781200",
            "telephone_number": "623-499-9100",
            "fax_number": "623-267-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYUN",
        "first_name": "JI YOUNG",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP10293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.