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SO RI KIM CRNP
NPI 1043908031
Nurse Practitioner - Gerontology in Abington, PA

Active since April 27, 2023PECOS Enrolled
2630 WOODLAND RD, ABINGTON, PA 19001(215) 884-6776 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About So Ri Kim Crnp NPPES

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

SO RI KIM CRNP (NPI 1043908031) is an individual gerontology provider in Abington, Pennsylvania, licensed in Pennsylvania (SP023201) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043908031
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSO RI KIMCredential: CRNP
Location Address2630 WOODLAND RDAbington, PA 19001-3013
Mailing Address2112 Redbud LnFurlong, PA 18925-1530 · (267) 334-3216
Phone(215) 884-6776
Sole ProprietorYes
Enumeration DateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1043908031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in PA · SP023201
2630 WOODLAND RD, Abington, PA 19001
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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 (PECOS)

So Ri Kim Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show So Ri Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vitality Np Group LLC
3.7 mi
Nurse Practitioner
45 LOGGERS MILL RD
Horsham, PA 19044
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 36 clinicians in this Medicare group
NPI 1003453051 (732) 282-7200
Via Affiliates
7.4 mi
Psychologist
847 EASTON RD STE 2900
Warrington, PA 18976
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 268 clinicians in this Medicare group
NPI 1588489272 (267) 864-0020
Clinical Specialty Associates
9.2 mi
Neurology
150 MONUMENT RD FL 4
Bala Cynwyd, PA 19004
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 192 clinicians in this Medicare group
NPI 1033902002 (610) 902-1738

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 2

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
108 services30 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
67 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 10

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

CINDY NACE
Occupational Therapist
2630 WOODLAND RD
ABINGTON, PA 19001
Montgomery County (215) 884-6776
MEGAN WILSON
Occupational Therapy Assistant
2630 WOODLAND RD
ABINGTON, PA 19001
Montgomery County (215) 884-6776
FRANCESCA MONTEROSSO PTA
Physical Therapy Assistant
2630 WOODLAND RD
ABINGTON, PA 19001
Montgomery County (215) 884-6776
BARRY CLEAVER PTA
Skilled Nursing Facility
2630 WOODLAND RD
ROSLYN, PA 19001
Montgomery County (215) 881-4111
PHUONG T. TIEN D.O.
Family Medicine
2630 WOODLAND RD
ABINGTON, PA 19001
Montgomery County (215) 703-7211
STEPHANIE SANTAMARIA
Occupational Therapist (Gerontology)
2630 WOODLAND RD
ABINGTON, PA 19001
Montgomery County (215) 884-6776
MATTHEW LEWELLIS OTR/L
Occupational Therapist
2630 WOODLAND RD
ABINGTON, PA 19001
Montgomery County (215) 884-6776
KATHLEEN BELAONG OTR./L
Occupational Therapist
2630 WOODLAND RD
ROSLYN, PA 19001
Montgomery County (215) 881-4111

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 So Ri Kim's NPI number?

The NPI number for So Ri Kim is 1043908031. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Where is So Ri Kim located?

So Ri Kim practices at 2630 Woodland Rd, Abington, PA 19001. The listed phone number is (215) 884-6776.

What is So Ri Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is So Ri Kim enrolled in Medicare?

Yes. So Ri Kim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for So Ri Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), So Ri Kim reassigns Medicare benefits to 3 organizations: Vitality Np Group LLC (Horsham, PA), Via Affiliates (Warrington, PA) and Clinical Specialty Associates (Bala Cynwyd, PA). 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 So Ri 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 So Ri Kim was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.