1. Home
  2. Directory
  3. New Mexico
  4. Santa Fe
  5. Nurse Practitioner
  6. NPI Profile

GHIJUNG KYLIE KIM NP-C
NPI 1023507100
Nurse Practitioner - Psychiatric/Mental Health in Santa Fe, NM

Active since May 04, 2018PECOS EnrolledAccepts Medicare Assignment
1836B CERRILLOS RD, SANTA FE, NM 87505(505) 357-1220(505) 805-7356 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2026, Jan 9, 2026, Dec 20, 2025 and 2 more (5 updates tracked since 2018).

About Ghijung Kylie Kim Np-c NPPES

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

GHIJUNG KYLIE KIM NP-C (NPI 1023507100) is an individual psychiatric/mental health provider in Santa Fe, New Mexico, licensed in Texas (AP136423) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023507100
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGHIJUNG KYLIE KIMCredential: NP-C
Location Address1836B CERRILLOS RDSanta Fe, NM 87505-3576
Mailing Address1836b Cerrillos RdSanta Fe, NM 87505-3576 · (505) 357-1220 · Fax (505) 805-7356
Phone(505) 357-1220
Fax(505) 805-7356
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 4, 2018
Last NPPES UpdateApril 8, 20265 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1023507100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · AP136423
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP136423 (TX)
1836B CERRILLOS RD, Santa Fe, NM 87505
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., UnitedHealthcare.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

Ghijung Kylie Kim Np-c 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 ID6709133366
PECOS Enrollment IDI20180727001953
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.

Medicare Billing Reassignment

Medicare enrollment records show Ghijung Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Austin Diagnostic Clinic, PLLC
601 mi
Endocrinology, Diabetes & Metabolism
12221 N. MO PAC EXPY, DEPT OF ENDOCRINOLOGY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 127 clinicians in this Medicare group
NPI 1932186640 (512) 901-4005

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 3

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
37 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services26 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
24 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87505 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Reported Quality Measures

Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%46 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Ghijung Kim's NPI number?

The NPI number for Ghijung Kim is 1023507100. It was assigned to this individual provider in the NPPES registry on May 4, 2018.

Where is Ghijung Kim located?

Ghijung Kim practices at 1836B Cerrillos Rd, Santa Fe, NM 87505. The listed phone number is (505) 357-1220.

What is Ghijung Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ghijung Kim enrolled in Medicare?

Yes. Ghijung 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 organization bills Medicare for Ghijung Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ghijung Kim reassigns Medicare benefits to The Austin Diagnostic Clinic, PLLC (Austin, TX). The 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 Ghijung Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ghijung Kim accept?

Health plans from Moda Health Plan, Inc. and UnitedHealthcare list Ghijung 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.

When was this NPI record last updated?

The NPPES record for Ghijung Kim was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.