Sei Young Kwak

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71006745A Issued in IN

Practice address

13000 N Meridian St Ste 101
Carmel, IN 46032-1404

Phone

(317) 848-1402

Fax

(317) 575-6912

NPI assigned

Oct 26, 2016

Last updated

Dec 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

American Health Network of Indiana LLCGroup PAC ID 9830093533, 204 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent Fishers Hospital, Fishers, IN, CCN 150181

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skwak211396@direct.optum.com

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

• American Health Network of Indiana, LLC

  • Internal Medicine Physician
  • Carmel, IN
  • NPI 1831236272

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Vibrant Vitality Medical Wellness Center PC

  dba Noblesville Urgent Care

  • General Practice Physician
  • Noblesville, IN
  • NPI 1265891279
  Medicare reassignment NPD
• Osh-in Physicians Group, PC

  • Primary Care Clinic/Center
  • Indianapolis, IN
  • NPI 1073995338
  Medicare reassignment
• American Health Network of Indiana LLC

  dba American Health Network of Indiana LLC/TELERADIOLOGY

  • Radiology Clinic/Center
  • New Albany, IN
  • NPI 1164304424
  NPD
• American Health Network of Indiana, LLC

  • Family Medicine Physician
  • Mulberry, IN
  • NPI 1033220017
  NPD (past)

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

• St Vincent Fishers Hospital Inc

  dba Ascension St Vincent Fishers

  • General Acute Care Hospital
  • Fishers, IN
  • NPI 1881956167
  Care Compare affiliation

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1689126674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 N MERIDIAN ST STE 101",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321404",
            "telephone_number": "317-848-1402",
            "fax_number": "317-575-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 N MERIDIAN ST STE 101",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321404",
            "telephone_number": "317-848-1402",
            "fax_number": "317-575-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAK",
        "first_name": "SEI YOUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006745A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28187483A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006745A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seiyoung.kwaknp.p5@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "13000 N Meridian St Ste 101",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460321404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peter Frederick Kunz, M.D.
• Beata Kupilas, PT
• Catherine Teresa Kurian, DO
• David R Kurut
• Shalissa Kutzleb
• Jenna Kwolek, PHARMD
• Douglas Kyrouac, MD
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings

• Family Nurse Practitioner in Carmel, IN
• Providers in Carmel, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.