Ms So Youn Youn Kim-shepherd, FNP - Medicare Nurse Practitioner in Florissant, MO

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Ms So Youn Youn Kim-shepherd, FNP is a medicare enrolled "Nurse Practitioner" in Florissant, Missouri. Her current practice location is 1225 Graham Rd, Dept Emergency Medicine, Florissant, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 362-9123.

Ms So Youn Youn Kim-shepherd is licensed to practice in Missouri (license number 110189) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831148469.

Contact Information

Ms So Youn Youn Kim-shepherd, FNP
1225 Graham Rd, Dept Emergency Medicine,
Florissant, MO 63031-8012
(314) 362-9123
(314) 747-9160

Map and Direction




Provider's Profile

Full NameMs So Youn Youn Kim-shepherd
GenderFemale
SpecialityNurse Practitioner
Location1225 Graham Rd, Florissant, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831148469
  • Provider Enumeration Date: 05/10/2006
  • Last Update Date: 07/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4587616149
  • Enrollment ID: I20050211000609

Medical Identifiers

Medical identifiers for Ms So Youn Youn Kim-shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831148469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 110189 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms So Youn Youn Kim-shepherd allows following entities to bill medicare on her behalf.
Entity NameSsm Health Care St Louis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586174
PECOS PAC ID: 7810800737
Enrollment ID: O20031118000393
Entity NameWashington University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104866656
PECOS PAC ID: 9830008770
Enrollment ID: O20040205000494
Entity NameSoutheastern Emergency Physicians Of Memphis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105277
PECOS PAC ID: 5395643209
Enrollment ID: O20060711000434
Entity NameSoutheastern Emergency Services Of Memphis Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164454450
PECOS PAC ID: 8921912767
Enrollment ID: O20080108000151
Entity NameSaint Louis Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598926917
PECOS PAC ID: 5395812952
Enrollment ID: O20080923000675
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619332046
PECOS PAC ID: 6608056171
Enrollment ID: O20150312000325

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. Ms So Youn Youn Kim-shepherd is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms So Youn Youn Kim-shepherd, FNP
Po Box 7412011,
Chicago, IL 60674-2011

Ph: (314) 362-9123		Ms So Youn Youn Kim-shepherd, FNP
1225 Graham Rd, Dept Emergency Medicine,
Florissant, MO 63031-8012

Ph: (314) 362-9123

Reviews and Comments


Nurse Practitioner Nurses in Florissant, MO

Mrs. Christine Ann Testa, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1225 Graham Rd Ste C-2310, Florissant, MO 63031
Phone: 314-953-6300    Fax: 314-953-6309
Ms. Laura M Gramolino, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1225 Graham Rd, Florissant, MO 63031
Phone: 314-953-6994    
Rachel Ann Sappington, RN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2137 Charbonier Rd Ste B, Florissant, MO 63031
Phone: 314-831-0181    Fax: 314-831-4471
Maggie Lewis, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3433 N Hwy 67, Florissant, MO 63033
Phone: 314-755-1822    
Kimberly Ann Deptula, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 500 Howdershell Rd, Florissant, MO 63031
Phone: 314-687-2727    Fax: 314-687-2672
Nicole A Phillips, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2535 Dresden Dr, Florissant, MO 63033
Phone: 314-422-9454    
Ms. Ashley Azzure Daniel, FNP -C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14021 New Halls Ferry Rd, Florissant, MO 63033
Phone: 314-915-3089    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.