MR. ANDREW ALEXANDER KIM JR. DNP, CRNA
NPI 1003516659
Nurse Anesthetist, Certified Registered in St. Petersburg, FL

Active since March 02, 2023Accepts Medicare Assignment
7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702(478) 321-7969 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2025, May 14, 2025, Mar 4, 2023 (3 updates tracked since 2023).

About Mr. Andrew Alexander Kim Jr. Dnp, Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANDREW ALEXANDER KIM JR. DNP, CRNA (NPI 1003516659) is an individual nurse anesthetist, certified registered in St. Petersburg, Florida, licensed in Texas (1214511) and active in the NPI registry since March 2023. He is affiliated with Novant Health New Hanover Regional Medical Center, maintains a secondary practice location in Dallas, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003516659
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. ANDREW ALEXANDER KIM JR.Credential: DNP, CRNA
Location Address7901 4TH ST N, STE 300St. Petersburg, FL 33702
Mailing Address7901 4th St N Ste 4000St Petersburg, FL 33702-4305 · (478) 321-7969
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 2, 2023
Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
NPI 1003516659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in TX · 1214511 Licensed in NC · 7844
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN291818 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RN291818 (GA)
7901 4TH ST N, St. Petersburg, FL 33702

Secondary Practice Location 1

Location 112222 Merit Dr Ste 600Dallas, TX 75251-3294 · Phone (972) 715-5000 · Fax (972) 715-9976

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Andrew Alexander Kim Jr. Dnp, Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799299228
PECOS Enrollment IDI20250708002183, I20251013004109

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Integrative Medicine
7901 4TH ST N
ST PETERSBURG, FL 33702
Physician Assistant
7901 4TH ST N, SUITE 8183
ST PETERSBURG, FL 33702
Community/Behavioral Health
7901 4TH ST N, SUITE 322
SAINT PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N, STE 300
ST. PETERSBURG, FL 33702
Chiropractor
7901 4TH ST N, SUITE 325
ST PETERSBURG, FL 33702
Counselor (Mental Health)
7901 4TH ST N
ST PETERSBURG, FL 33702
Dietitian, Registered
7901 4TH ST N
ST PETERSBURG, FL 33702
Durable Medical Equipment & Medical Supplies
7901 4TH ST N
ST PETERSBURG, FL 33702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Kim's NPI number?

The NPI number for Andrew Kim is 1003516659. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Where is Andrew Kim located?

Andrew Kim practices at 7901 4th St N Ste 300, St. Petersburg, FL 33702. The listed phone number is (478) 321-7969.

What is Andrew Kim's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Andrew Kim enrolled in Medicare?

Yes. Andrew Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Kim accept?

Health plans from Blue Cross and Blue Shield of Texas list Andrew Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Kim affiliated with any hospitals?

According to CMS data, Andrew Kim is affiliated with Novant Health New Hanover Regional Medical Center and Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Andrew Kim was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.