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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Kangsun Jin

CRNP

Nurse Practitioner - Psychiatric/Mental Health

NPI: 1023809167Indiana, Pennsylvania, 15701(888) 686-1991Male

About Kangsun Jin

Kangsun Jin, CRNP, is a male healthcare professional specializing in Nurse Practitioner - Psychiatric/Mental Health with a focus on Psychiatric/Mental Health, registered under National Provider Identifier (NPI) number 1023809167.

Kangsun Jin received his medical education at OTHER, graduating in 2025. Their primary practice is located at 793 OLD ROUTE 119 HWY N, Indiana, Pennsylvania 15701. Patients can reach the office at (888) 686-1991.

Kangsun Jin is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications. Kangsun Jin has been NPI-registered since 2025.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1023809167
Entity Type
Individual
First Name
Kangsun
Last Name
Jin
Credential
CRNP
Gender
Male
Medical School
OTHER
Graduation Year
2025
Sole Proprietor
No
Status
active

Primary Practice Location

Address
793 OLD ROUTE 119 HWY N
City
Indiana
State
Pennsylvania
ZIP
15701-1372
Country
United States
Phone
(888) 686-1991

Specialty & Taxonomy

Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Classification
Nurse Practitioner
Specialization
Psychiatric/Mental Health
Taxonomy Code
363LP0808X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
134 BRADDOCK DR
City
LATROBE
State
PA
ZIP
156501034

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Kangsun Jin's NPI number?
Kangsun Jin's National Provider Identifier (NPI) is 1023809167. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Kangsun Jin specialize in?
Kangsun Jin specializes in Nurse Practitioner - Psychiatric/Mental Health. They received their medical education at OTHER (class of 2025).
Where is Kangsun Jin located?
Kangsun Jin practices at 793 OLD ROUTE 119 HWY N, Indiana, Pennsylvania 15701. You can reach them by phone at (888) 686-1991.
Does Kangsun Jin accept Medicare?
Yes, Kangsun Jin is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Kangsun Jin offer telehealth or virtual visits?
Kangsun Jin does not currently offer telehealth services. In-person visits are required at their practice location.
Can Kangsun Jin prescribe medications?
Yes, Kangsun Jin is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Kangsun Jin is 1023809167.