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SEONG-HYE KIM N.P.
NPI 1063963155
Nurse Practitioner in Gastonia, NC

Active since October 24, 2016PECOS Enrolled
1875 REMOUNT RD, GASTONIA, NC 28054(704) 874-0600 Get Directions Write a Review

NPPES record last updated: November 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2018, Oct 24, 2016 (2 updates tracked since 2016).

About Seong-hye Kim N.p. NPPES

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

SEONG-HYE KIM N.P. (NPI 1063963155) is an individual nurse practitioner in Gastonia, North Carolina, licensed in North Carolina (5009012) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063963155
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSEONG-HYE KIMCredential: N.P.
Location Address1875 REMOUNT RDGastonia, NC 28054-7413
Mailing Address200 E 2nd AveGastonia, NC 28052-4358
Phone(704) 874-0600
Sole ProprietorNo
Enumeration DateOctober 24, 2016
Last NPPES UpdateNovember 6, 20182 updates tracked since enumeration
✔ NPI 1063963155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5009012
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1875 REMOUNT RD, Gastonia, NC 28054
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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)

Seong-hye Kim N.p. 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 Reassignment

Medicare enrollment records show Seong-hye Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gaston Family Health Services, Inc.
2.3 mi
Federally Qualified Health Center (FQHC)
111 E 3RD AVE
Gastonia, NC 28052
  • Reassigned Medicare billing, North Carolina enrollment
  • 207 clinicians in this Medicare group
NPI 1548389125 (704) 874-3300

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 28054 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 17

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

DARBY LEE BAILEY YATES DC
Chiropractor
1875 REMOUNT RD
GASTONIA, NC 28054
Gaston County (704) 874-0600
LAKISHA Y TESCHEMAKER DNP
Nurse Practitioner
1875 REMOUNT RD
GASTONIA, NC 28054
Gaston County (704) 874-0600
SENIOR TOTAL LIFE CARE
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
1875 REMOUNT RD
GASTONIA, NC 28054
Gaston County (704) 874-0600
CRYSTAL SHUANDALE KILLIAN NP
Nurse Practitioner (Adult Health)
1875 REMOUNT RD
GASTONIA, NC 28054
Gaston County (704) 874-0600
GASTON FAMILY HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1875 REMOUNT RD
GASTONIA, NC 28054
Gaston County (855) 327-7852
VICTORIA M CAUDILL NP
Nurse Practitioner
1875 REMOUNT RD
GASTONIA, NC 28054
Gaston County (704) 874-0600
MELISSA I MOOSE LC SW
Social Worker (Clinical)
1875 REMOUNT RD
GASTONIA, NC 28054
Gaston County (704) 874-0600
JUDITH ROBINSON MALONEY ANP/GNP-C
Nurse Practitioner (Adult Health)
1875 REMOUNT RD
GASTONIA, NC 28054
Gaston County (704) 874-0600

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 Seong-hye Kim's NPI number?

The NPI number for Seong-hye Kim is 1063963155. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Where is Seong-hye Kim located?

Seong-hye Kim practices at 1875 Remount Rd, Gastonia, NC 28054. The listed phone number is (704) 874-0600.

What is Seong-hye Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Seong-hye Kim enrolled in Medicare?

Yes. Seong-hye Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Seong-hye Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seong-hye Kim reassigns Medicare benefits to Gaston Family Health Services, Inc. (Gastonia, NC). 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 Seong-hye 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 Seong-hye Kim was last updated on November 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.