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KILHYO BAEK FNP-C
NPI 1053776914
Nurse Practitioner - Family in Vista, CA

Active since December 19, 2015PECOS Enrolled
1000 VALE TERRACE DR, VISTA, CA 92084(760) 631-5000 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2020, Jan 12, 2019, Dec 19, 2015 (3 updates tracked since 2015).

About Kilhyo Baek Fnp-c NPPES

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

KILHYO BAEK FNP-C (NPI 1053776914) is an individual family provider in Vista, California, licensed in California (95003571) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in South Salt Lake.

NPPES Registry Identity

NPI1053776914
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKILHYO BAEKCredential: FNP-C
Location Address1000 VALE TERRACE DRVista, CA 92084-5218
Mailing Address1000 Vale Terrace DrVista, CA 92084-5218 · (760) 631-5000
Phone(760) 631-5000
Sole ProprietorNo
Enumeration DateDecember 19, 2015
Last NPPES UpdateNovember 5, 20203 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1053776914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95003571
1000 VALE TERRACE DR, Vista, CA 92084
Open in Google Maps ↗

Secondary Practice Location 1

Location 13600 S 700 WSouth Salt Lake, UT 84119-4122 · Phone (801) 262-5626

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kilhyo Baek Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92084 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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
3 suppliers14 claims28 services$3.28 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 20

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

CHRISTINE DOUGHERTY LCSW
Social Worker (Clinical)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
PATRICIA R HOLLAND
Nurse Practitioner (Pediatrics)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
DIANA J MENDOZA
Case Manager/Care Coordinator
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 407-1220
MS. JESSICA HERNANDEZ
Nurse Practitioner (Family)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
ELIZABETH KETCHEL APCC
Counselor (Mental Health)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
INGRID DEKKERS-O'HARE NP
Nurse Practitioner
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
LEILA SHABANIAN M.D.
Hospitalist
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
PAMELA N KINGERY NP
Nurse Practitioner (Women's Health)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 407-1220

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 Kilhyo Baek's NPI number?

The NPI number for Kilhyo Baek is 1053776914. It was assigned to this individual provider in the NPPES registry on December 19, 2015.

Where is Kilhyo Baek located?

Kilhyo Baek practices at 1000 Vale Terrace Dr, Vista, CA 92084. The listed phone number is (760) 631-5000.

What is Kilhyo Baek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kilhyo Baek enrolled in Medicare?

Yes. Kilhyo Baek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kilhyo Baek was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.