Kangsun Jin, CRNP
NPI 1023809167 · Psychiatric/Mental Health Nurse Practitioner · Indiana, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kangsun Jin, CRNP is a Psychiatric/Mental Health Nurse Practitioner provider in Indiana, PA (NPI 1023809167).
Provider details
- NPI number
- 1023809167
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- No
- License
- SP033087 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-16
- Last updated
- 2025-06-27
- Certified
- 2025-06-27
Frequently asked questions
- What is Kangsun Jin's NPI number?
- Kangsun Jin's National Provider Identifier (NPI) is 1023809167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kangsun Jin's specialty?
- Kangsun Jin is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kangsun Jin located?
- Kangsun Jin's practice location on file with NPPES is 793 Old Route 119 Hwy N, Indiana, PA 15701-1372.
- What is Kangsun Jin's phone number?
- The practice phone number listed in the NPPES registry for Kangsun Jin is (888) 686-1991.
- Does Kangsun Jin accept Medicare?
- Kangsun Jin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kangsun Jin's NPI active?
- Yes — Kangsun Jin's NPI (1023809167) is active in the NPPES registry as of the last update on 2025-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.