Tae Yoon, NP
NPI 1205542834ActiveIndividual· Nurse Practitioner, Adult Health· Fullerton, CA
Nurse Practitioner, Adult Health (NP) in Fullerton, California, licensed in CA, with an NPI issued in January 2023. Mostly services rather than prescriptions: Medicare paid $83,117 for 103 patients in 2024, with only 14 Part D claims.
Overview
| NPI | 1205542834 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Jan 26, 2023 |
| Last updated in NPPES | Jan 26, 2023 |
| Certified by provider | Jun 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 95021116 | CA |
| Nurse Practitioner, Primary Care | 363LP2300X | 95021116 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 103 |
|---|---|
| Services billed | 932 across 13 procedure codes |
| Paid by Medicare | $83,117 |
Part D prescriptions in 2024
| Prescriptions (claims) | 14 · 14 30-day fills |
|---|---|
| Total drug cost | $2,061 |
| Generic share | 79% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Adult Health providers in Fullerton
- 1386596963
- 1255792875
- 1417129131
- 1568763043
- 1346306784
- 1033014758
- 1013311471
All Nurse Practitioner, Adult Health providers in California →