Active NPI
Jinsook Kwack, FNP
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95005934
- Practice address
- 2121 N 44TH St
Phoenix, AZ 85008-3224 - Phone
- (520) 637-3237
- NPI assigned
- Mar 9, 2017
- Last updated
- Jun 14, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95005934 | AZ | Primary |
Addresses
Primary practice location
2121 N 44TH St
Phoenix, AZ 85008-3224
Mailing address
2121 N 44TH St
Phoenix, AZ 85008-3224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95005943 | CA | MD | Nurse Practitioner |
| 95005934 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Diabetes Center, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates of California, PC | Current | Accepting new patients | |
| I Am Wellness Az LLC | Current | Accepting new patients | |
| Bmi423I | Current | Accepting new patients | |
| Mobileonedocs, LLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Mobileonedocs, LLC | Family | Current | Accepting new patients |
| Progressive Pain Management Inc | Current | Accepting new patients | |
| Michael F Esber DPM PC | Current | Accepting new patients | |
| Arizona Essential Wellness PLLC | Family | Current | Accepting new patients |
| New Vida Medical LLC | Past | Accepting new patients | |
| Ghods Inc | Past | Accepting new patients |
Locations
1653 E McMurray Blvd
Ste 144
Casa Grande, AZ 85122
Phone (520) 836-8644
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933
535 E McKellips Rd
Ste 111
Mesa, AZ 85203
Phone (480) 223-1333
1616 E Indian School Rd
Ste 135
Phoenix, AZ 85016
Phone (480) 900-9355
202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072
5060 N 19th Ave
Ste 317
Phoenix, AZ 85015
Phone (602) 904-0088
6707 N 19th Ave
Ste 109
Phoenix, AZ 85015
Phone (602) 371-0188
9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700
10115 E Bell Rd
Ste 107234
Scottsdale, AZ 85260
Phone (480) 843-9877
14418 W Meeker Blvd
Ste 205
Sun City West, AZ 85375
Phone (623) 546-4930
818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202
505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 14
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.
-
dba Clinica Esperanza-Hope Primary Care, LLC
- Internal Medicine Physician
- Mesa, AZ
- NPI 1104865757
-
- Adult Medicine Physician
- Chandler, AZ
- NPI 1184354532
-
- Foot Surgery Podiatrist
- Sun City West, AZ
- NPI 1902907504
-
- Geriatric Medicine (Internal Medicine) Physician
- Scottsdale, AZ
- NPI 1629424379
-
- Interventional Pain Medicine Physician
- Casa Grande, AZ
- NPI 1881866754
-
- General Practice Physician
- San Francisco, CA
- NPI 1124685169
-
dba Ascend Clinic Az
- Family Nurse Practitioner
- Scottsdale, AZ
- NPI 1972449692
-
dba GB Family Care, LLC
- Family Medicine Physician
- Phoenix, AZ
- NPI 1699025981
-
dba Physicians and Surgeons Wound Care
- Surgery Physician
- Los Angeles, CA
- NPI 1184105231
-
- Family Medicine Physician
- Prescott, AZ
- NPI 1407683162
-
- Family Nurse Practitioner
- Colorado Springs, CO
- NPI 1740858950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781395200000",
"number": "1740721869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 N 44TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850083224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 N 44TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850083224",
"telephone_number": "520-637-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWACK",
"first_name": "JINSOOK",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-09",
"last_updated": "2026-06-14",
"certification_date": "2026-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "95005934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.