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MS. JUNG EUN YIM N.P
NPI 1043643737
Nurse Practitioner - Adult Health in Garden Grove, CA

Active since August 16, 2013PECOS EnrolledAccepts Medicare Assignment
9828 GARDEN GROVE BLVD STE 201, GARDEN GROVE, CA 92844(714) 530-9633(714) 530-4410 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Jung Eun Yim N.p NPPES

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

MS. JUNG EUN YIM N.P (NPI 1043643737) is an individual adult health provider in Garden Grove, California, licensed in California (22861) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1043643737
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. JUNG EUN YIMCredential: N.P
Location Address9828 GARDEN GROVE BLVD STE 201Garden Grove, CA 92844-1659
Mailing Address9828 Garden Grove Blvd Ste 201Garden Grove, CA 92844-1659 · (714) 530-9633 · Fax (714) 530-4410
Phone(714) 530-9633
Fax(714) 530-4410
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 16, 2013
✔ NPI 1043643737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 22861
9828 GARDEN GROVE BLVD STE 201, Garden Grove, CA 92844
Open in Google Maps ↗

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

Ms. Jung Eun Yim N.p 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 ID9436465481
PECOS Enrollment IDI20150904001952
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 Jung Eun Yim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kcs, Inc.
4.9 mi
Federally Qualified Health Center (FQHC)
451 W LINCOLN AVE STE 100
Anaheim, CA 92805
  • Reassigned Medicare billing, California enrollment
  • 32 clinicians in this Medicare group
NPI 1992951180 (714) 503-6550

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 92844 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers16 claims27 services$6.08 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONG D LEE M.D.
Family Medicine
9828 GARDEN GROVE BLVD STE 201
GARDEN GROVE, CA 92844
Orange County (714) 530-9633
JOONG Y PARK M D MEDICAL CORP
General Practice
9828 GARDEN GROVE BLVD STE 201
GARDEN GROVE, CA 92844
Orange County (714) 530-9633
WILLIAM BYUNG HO PARK M.D.
Anesthesiology
9828 GARDEN GROVE BLVD STE 201
GARDEN GROVE, CA 92844
Orange County (714) 530-9633

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 Jung Eun Yim's NPI number?

The NPI number for Jung Eun Yim is 1043643737. It was assigned to this individual provider in the NPPES registry on August 16, 2013.

Where is Jung Eun Yim located?

Jung Eun Yim practices at 9828 Garden Grove Blvd Ste 201, Garden Grove, CA 92844. The listed phone number is (714) 530-9633.

What is Jung Eun Yim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jung Eun Yim enrolled in Medicare?

Yes. Jung Eun Yim 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 Jung Eun Yim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jung Eun Yim reassigns Medicare benefits to Kcs, Inc. (Anaheim, CA). 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 Jung Eun Yim'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 Jung Eun Yim was last updated on August 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.