Individual provider Active NPI

Brian P Yoon, ARNP

  • Family Nurse Practitioner
  • Reardan, WA
National Provider Identifier
1841790268
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61302221 Issued in WA
Practice address
550 E Broadway Ave
Reardan, WA 99029-0629
Phone
(509) 796-2737
Fax
(509) 796-2738
NPI assigned
Feb 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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 AP61302221 WA Primary

Addresses

Primary practice location

550 E Broadway Ave
Reardan, WA 99029-0629

Mailing address

10 Nicholls St
Davenport, WA 99122-9729
Phone (509) 725-7501

Other practice location 1

10 Nicholls St
Davenport, WA 99122-9729
Phone (509) 725-7501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20220919001120 WA Practitioner - Nurse Practitioner 6709125966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln County Hospital District 3Group PAC ID 3971591199, shared by 5 NPIs, 21 clinicians

Practice addresses (Care Compare)

10 Nicholls St
Davenport, WA 99122-9729

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Hospital District #3 CurrentSince Aug 1, 2022 Accepting new patients
Lincoln County Hospital District 3 CurrentSince Aug 1, 2022 Accepting new patients
Lincoln County Hospital District #3 CurrentSince Aug 1, 2022 Accepting new patients
Lincoln County Hospital District 3 Past Accepting new patients

Locations

10 Nicholls St
Davenport, WA 99122
Phone (509) 725-7101

Interoperability endpoints

  • Direct secure messaging: byoon2376202@wm.providencedirect.org

Organizations & group practices 4

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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1841790268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NICHOLLS ST",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991229729",
            "telephone_number": "509-725-7501",
            "fax_number": "509-725-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E BROADWAY AVE",
            "city": "REARDAN",
            "state": "WA",
            "postal_code": "990290629",
            "telephone_number": "509-796-2737",
            "fax_number": "509-796-2738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Nicholls St",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "WA",
            "postal_code": "991229729",
            "country_code": "US",
            "telephone_number": "509-725-7501",
            "fax_number": "509-725-7504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "BRIAN",
        "middle_name": "P",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-13",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61302221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reardan, WA

Sources for this page

Verify at the official NPI Registry.