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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.

JENNIFER KIM
NPI 1043102270
Nurse Anesthetist, Certified Registered in Boston, MA

Active since July 21, 2025PECOS EnrolledAccepts Medicare Assignment
300 BROOKLINE AVE, BOSTON, MA 02215(617) 667-3364(617) 754-8791 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 14, 2026, Jul 31, 2026 (2 updates tracked since 2026).

About Jennifer Kim NPPES

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

JENNIFER KIM (NPI 1043102270) is an individual nurse anesthetist, certified registered in Boston, Massachusetts, licensed in Massachusetts (RN2310756) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1043102270
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJENNIFER KIM
Location Address300 BROOKLINE AVEBoston, MA 02215-5403
Mailing Address300 Brookline AveBoston, MA 02215-5403 · (617) 667-3112 · Fax (617) 754-8791
Phone(617) 667-3364
Fax(617) 754-8791
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 21, 2025
Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1043102270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MA · RN2310756
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.
300 BROOKLINE AVE, Boston, MA 02215
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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

Jennifer Kim 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 ID3173080819
PECOS Enrollment IDI20260812002792
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 Jennifer Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is
0.1 mi
Emergency Medical Services
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,006 clinicians in this Medicare group
NPI 1952358533 (617) 754-2320

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

ELLIE GONYEAU
Nurse Practitioner
300 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (518) 681-1569
OMAR ZURKIYA M.D., PH.D.
Radiology (Diagnostic Radiology)
300 BROOKLINE AVE, RADIOLOGY DEPARTMENT
BOSTON, MA 02215
Suffolk County (617) 667-3532
DR. EMILY MEJIA MD
General Acute Care Hospital
300 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
MRS. KATHLEEN DIONNE N.P.
Nurse Practitioner (Family)
300 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-2900
THY VO
Anesthesiology
300 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
STEPHANIE LYNN BUCKENHEIMER AGNP-BC
Nurse Practitioner (Acute Care)
300 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
EILEEN M STUART-SHOR RN, ANP
Nurse Practitioner (Adult Health)
300 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER - STONEMAN 1 PAT
BOSTON, MA 02215
Suffolk County (617) 667-6071
KELLY MOORE RD, LDN
Dietitian, Registered
300 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-9081

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 Jennifer Kim's NPI number?

The NPI number for Jennifer Kim is 1043102270. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Where is Jennifer Kim located?

Jennifer Kim practices at 300 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 667-3364.

What is Jennifer Kim's specialty?

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

Is Jennifer Kim enrolled in Medicare?

Yes. Jennifer 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 Jennifer Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Kim reassigns Medicare benefits to Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is (Boston, MA). 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 Jennifer 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 Jennifer Kim was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 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.