Kangsun Jin, CRNP - Nurse Practitioner in Indiana, PA

Kangsun Jin, CRNP is a Nurse Practitioner - Psychiatric/mental Health based in Indiana, Pennsylvania. Kangsun Jin is licensed to practice in Pennsylvania (license number SP033087) and his current practice location is 793 Old Route 119 Hwy N, Indiana, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (888) 686-1991.

NPI number for Kangsun Jin is 1023809167 and his current mailing address is 134 Braddock Dr, Latrobe, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023809167.

Contact Information

Kangsun Jin, CRNP
793 Old Route 119 Hwy N,
Indiana, PA 15701-1372
(888) 686-1991
Not Available

Map and Direction




Provider's Profile

Full NameKangsun Jin
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location793 Old Route 119 Hwy N, Indiana, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023809167
  • Provider Enumeration Date: 05/16/2025
  • Last Update Date: 06/27/2025

Medical Identifiers

Medical identifiers for Kangsun Jin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023809167NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health SP033087 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kangsun Jin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kangsun Jin, CRNP
134 Braddock Dr,
Latrobe, PA 15650-1034

Ph: (929) 395-6116
Kangsun Jin, CRNP
793 Old Route 119 Hwy N,
Indiana, PA 15701-1372

Ph: (888) 686-1991

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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