Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chan Mi Sung, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1023828167

Chan Mi Sung, FNP-BC is a Nurse Practitioner in Roseville, California. Qualified in 2024, 2 years ago. Practices with Sharwin Tafazoli Inc, a 57-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone: (916) 781-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 355214 (NY)

Record details

NPI number1023828167
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedJanuary 10, 2025
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sharwin Tafazoli Inc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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