JOANNE KIM NP
NPI 1053037192
Nurse Practitioner - Family in Riverside, CA
About Joanne Kim Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOANNE KIM NP (NPI 1053037192) is an individual family provider in Riverside, California, licensed in California (95022581) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mission Hills, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Joanne Kim Np 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 Reassignment
Medicare enrollment records show Joanne Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92506
- Reassigned Medicare billing, California enrollment
- 6 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 5
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 92503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Joanne Kim's NPI number?
The NPI number for Joanne Kim is 1053037192. It was assigned to this individual provider in the NPPES registry on October 19, 2022. The provider is also known as Eunice Lee Rn.
Where is Joanne Kim located?
Joanne Kim practices at 3657 Van Buren Blvd, Riverside, CA 92503. The listed phone number is (909) 238-7966.
What is Joanne Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Joanne Kim enrolled in Medicare?
Yes. Joanne 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 Joanne Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joanne Kim reassigns Medicare benefits to Evergreen Spine And Pain Centers (Riverside, 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 Joanne 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 Joanne Kim was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Joanne Kim, NP · NPI 1053037192
Family physician in Riverside, California. Individual provider, active in the CMS NPPES registry since October 19, 2022.
## Identity
- **NPI:** 1053037192 (Entity type: Individual)
- **Enumerated:** October 19, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95022581 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3657 VAN BUREN BLVD, Riverside, CA 92503-4249
- **Phone:** (909) 238-7966
## 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:** Evergreen Spine And Pain Centers (NPI 1760159198, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1053037192) · Data from the CMS NPPES public registry.