JINA KIM FNP
NPI 1023468832
Nurse Practitioner in Manhasset, NY
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
Specialties & Licenses 2
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Jina Kim reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manhasset, NY 11030
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: North Shore-Lij Medical Group PC
- 63 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Bayside, NY 11361
- Reassigned Medicare billing, New York enrollment
- 16 clinicians in this Medicare group
Bayside, NY 11361
- Reassigned Medicare billing, New York enrollment
- 23 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, New York enrollment
- 14 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.
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.
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.
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.
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.
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.
MANHASSET, NY 11030
MANHASSET, NY 11030
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.
Which organizations bill Medicare for Jina Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jina Kim reassigns Medicare benefits to 5 organizations: North Shore-Lij Medical Group P.C. (Manhasset, NY), North Shore-Lij Medical PC (Great Neck, NY), Ny Priority Medical Care PLLC (Bayside, NY), Nodar Janas MD PC (Bayside, NY) and Integrated Ny Medical Care, PLLC (Denver, CO). 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 Jina Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 3 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.
# Jina Kim, FNP · NPI 1023468832
Nurse Practitioner physician in Manhasset, New York. Individual provider, active in the CMS NPPES registry since June 13, 2016.
## Identity
- **NPI:** 1023468832 (Entity type: Individual)
- **Enumerated:** June 13, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 340441 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 600 COMMUNITY DR, Manhasset, NY 11030-3802
- **Phone:** (516) 419-6036
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): North Shore-Lij Medical Group P.C. (NPI 1942666557, Manhasset, NY); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); Ny Priority Medical Care PLLC (NPI 1144506056, Bayside, NY); Nodar Janas MD PC (NPI 1366945339, Bayside, NY); Integrated Ny Medical Care, PLLC (NPI 1235759234, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023468832) · Data from the CMS NPPES public registry.