Individual provider Active NPI

Jin Sook Sung, APRN, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1740943596
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1055624 Issued in TX
Practice address
3430 W Wheatland Rd
Dallas, TX 75237-3446
Phone
(972) 780-5888
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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 1055624 TX Primary

Addresses

Primary practice location

3430 W Wheatland Rd
Dallas, TX 75237-3446

Mailing address

3430 W Wheatland Rd Ste 202
Dallas, TX 75237-3447
Phone (972) 283-1800

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL jinsung@mhd.com
CONNECT URL jinsung@mhd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211117001056 TX Practitioner - Nurse Practitioner 7911396718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

3430 W Wheatland Rd
Suite 202
Dallas, TX 75237-3447
Phone (972) 283-1800

Hospital & facility affiliations

  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1055624TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Nov 9, 2021 Accepting new patients
Medhealth CurrentSince Nov 9, 2021 Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

3430 W Wheatland Rd
Ste 202
Dallas, TX 75237
Phone (972) 283-1800

3430 W Wheatland Rd
Dallas, TX 75237
Phone (469) 692-2080

3400 W Wheatland Rd
Dallas, TX 75237

Interoperability endpoints

  • Direct secure messaging: jsung70130@dm.mhd.com

Organizations & group practices 2

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1740943596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 W WHEATLAND RD STE 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373447",
            "telephone_number": "972-283-1800",
            "fax_number": "972-283-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373446",
            "telephone_number": "972-780-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "JIN",
        "middle_name": "SOOK",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-12-01",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1055624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jinsung@mhd.com",
            "affiliation": "N",
            "address_1": "3430 W Wheatland Rd",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752373446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jinsung@mhd.com",
            "affiliation": "N",
            "address_1": "3400 W Wheatland Rd",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752374418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.