MR. ANDREW ALEXANDER KIM JR. DNP, CRNA
NPI 1003516659
Nurse Anesthetist, Certified Registered in St. Petersburg, FL
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 Memorial Hermann Hospital System, maintains a secondary practice location in Dallas, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Andrew Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, NC 28401
- Reassigned Medicare billing, North Carolina enrollment
- 444 clinicians in this Medicare group
Wilmington, NC 28401
- Reassigned Medicare billing, North Carolina enrollment
- 335 clinicians in this Medicare group
Houston, TX 77042
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
- 3,804 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hermann Hospital System
Acute Care Hospitals · Houston, TXPhysician 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.
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.
SAINT PETERSBURG, FL 33702
ST. PETERSBURG, FL 33702
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.
Which organizations bill Medicare for Andrew Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Kim reassigns Medicare benefits to 3 organizations: Wilmington Health PLLC (Wilmington, NC), Novant Health New Hanover Regional Medical Center LLC (Wilmington, NC) and U. S. Anesthesia Partners Of Texas, P.A., (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Kim accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers 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 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 12 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.
# Mr. Andrew Alexander Kim Jr., DNP, CRNA · NPI 1003516659
Nurse Anesthetist, Certified Registered physician in St. Petersburg, Florida. Individual provider, active in the CMS NPPES registry since March 2, 2023.
## Identity
- **NPI:** 1003516659 (Entity type: Individual)
- **Enumerated:** March 2, 2023
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 1214511 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7901 4TH ST N, STE 300, St. Petersburg, FL 33702
- **Phone:** (478) 321-7969
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Wilmington Health PLLC (NPI 1881632339, Wilmington, NC); Novant Health New Hanover Regional Medical Center LLC (NPI 1932958584, Wilmington, NC); U. S. Anesthesia Partners Of Texas, P.A., (NPI 1548208564, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003516659) · Data from the CMS NPPES public registry.