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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JINA KIM FNP
NPI 1023468832
Nurse Practitioner in Manhasset, NY

Active since June 13, 2016PECOS Enrolled
91.25/100
CMS Quality Rating
600 COMMUNITY DR, MANHASSET, NY 11030(516) 419-6036 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Nov 10, 2021, Aug 19, 2016 and 1 more (4 updates tracked since 2016).

About Jina Kim Fnp NPPES

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

JINA KIM FNP (NPI 1023468832) is an individual nurse practitioner in Manhasset, New York, licensed in New York (340441) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1023468832
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJINA KIMCredential: FNP
Location Address600 COMMUNITY DRManhasset, NY 11030-3802
Mailing Address600 Community DrManhasset, NY 11030-3802 · (516) 419-6036
Phone(516) 419-6036
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 13, 2016
Last NPPES UpdateJuly 28, 20264 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1023468832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in NY · 340441✔ Licensed in CT · 12831
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 340441 (NY)
600 COMMUNITY DR, Manhasset, NY 11030
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11266 E Main St Ste Rofc619Stamford, CT 06902-3546 · Phone (347) 252-9771 · Fax (877) 384-3037
Location 2401 Park Ave SNew York, NY 10016-8808 · Phone (347) 252-9771 · Fax (888) 597-2148

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

Jina Kim Fnp 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 ID3870871247
PECOS Enrollment IDI20161107000433
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
55 services37 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
41 services29 patients
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506
This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
26 services26 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
23 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
6 suppliers12 claims1,500 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DANIELA NIVICELA
Case Manager/Care Coordinator
600 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 388-5753
DIANNE LAYER-KELLY NP
Nurse Practitioner (Family)
600 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 823-8855
DANIELLE CHISHOLM
Case Manager/Care Coordinator
600 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (888) 680-6501
DR. JOSEPH ANDREW RICCI MD
Surgery (Plastic and Reconstructive Surgery)
600 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 224-2337
MICHELLE DONALD MD
Pediatrics
600 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 823-8345
ASHLEY ANN WILK
Case Manager/Care Coordinator
600 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 402-6301
DINA-LYNN TROY CRNA
Nurse Anesthetist, Certified Registered
600 COMMUNITY DR, SUITE 302
MANHASSET, NY 11030
Nassau County (516) 945-3000
SHAY ALYSSA MITCHELL LMSW
Social Worker
600 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (631) 415-8965

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 Jina Kim's NPI number?

The NPI number for Jina Kim is 1023468832. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Jina Kim located?

Jina Kim practices at 600 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 419-6036.

What is Jina Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jina Kim enrolled in Medicare?

Yes. Jina 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.

When was this NPI record last updated?

The NPPES record for Jina Kim was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.