MRS. MIN JUNG SOPHIA KANG PMHNP
NPI 1063889632
Nurse Practitioner - Psychiatric/Mental Health in Jackson, MS
About Mrs. Min Jung Sophia Kang Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MIN JUNG SOPHIA KANG PMHNP (NPI 1063889632) is an individual psychiatric/mental health provider in Jackson, Mississippi, licensed in Mississippi (R852417) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
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
Mrs. Min Jung Sophia Kang Pmhnp 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 Reassignments
2Medicare enrollment records show Min Jung Kang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Jackson, MS 39203
- Reassigned Medicare billing, Mississippi enrollment
- Medicare enrollment name: Mississippi State Hospital At Whitfield
- 67 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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Mississippi Med Center
Acute Care Hospitals · Jackson, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 18
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
JACKSON, MS 39216
JACKSON, MS 39216
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 Min Jung Kang's NPI number?
The NPI number for Min Jung Kang is 1063889632. It was assigned to this individual provider in the NPPES registry on August 30, 2015.
Where is Min Jung Kang located?
Min Jung Kang practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5815.
What is Min Jung Kang's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Min Jung Kang enrolled in Medicare?
Yes. Min Jung Kang 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 organizations bill Medicare for Min Jung Kang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Min Jung Kang reassigns Medicare benefits to 2 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS) and Mississippi State Hospital (Jackson, MS). 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 Min Jung Kang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Min Jung Kang accept?
Health plans from Cigna Healthcare, Molina Healthcare and Oscar Health Plan, Inc. list Min Jung Kang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Min Jung Kang affiliated with any hospitals?
According to CMS data, Min Jung Kang is affiliated with University Of Mississippi Med Center.
When was this NPI record last updated?
The NPPES record for Min Jung Kang was last updated on August 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mrs. Min Jung Sophia Kang, PMHNP · NPI 1063889632
Psychiatric/Mental Health physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since August 30, 2015.
## Identity
- **NPI:** 1063889632 (Entity type: Individual)
- **Enumerated:** August 30, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R852417 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-5815 · **Fax:** (601) 984-5842
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS); Mississippi State Hospital (NPI 1134366867, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 19, 2016
- **Other identifiers:** Medicare PIN P01676210 (MS); Medicare PIN 470224YJ5D (MS); Medicaid 05024859 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1063889632) · Data from the CMS NPPES public registry.