MI SEONG KIM FNP
NPI 1073444170
Nurse Practitioner - Family in Montgomery, AL
About Mi Seong Kim Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MI SEONG KIM FNP (NPI 1073444170) is an individual family provider in Montgomery, Alabama, licensed in Alabama (1-146675) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Mi Seong Kim Fnp 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 Mi Seong Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Montgomery, AL 36117
- Reassigned Medicare billing, Alabama enrollment
- 5 clinicians in this Medicare group
Selma, AL 36701
- Reassigned Medicare billing, Alabama enrollment
- 5 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 36117 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
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 Mi Seong Kim's NPI number?
The NPI number for Mi Seong Kim is 1073444170. It was assigned to this individual provider in the NPPES registry on May 27, 2026.
Where is Mi Seong Kim located?
Mi Seong Kim practices at 9540 Wynlakes Pl, Montgomery, AL 36117. The listed phone number is (706) 616-3862.
What is Mi Seong Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mi Seong Kim enrolled in Medicare?
Yes. Mi Seong 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 organizations bill Medicare for Mi Seong Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mi Seong Kim reassigns Medicare benefits to 2 organizations: Vaughn Family Care LLC (Montgomery, AL) and Ourtown Family Care LLC (Selma, AL). 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 Mi Seong Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mi Seong Kim accept?
Health plans from Blue Cross and Blue Shield of Alabama list Mi Seong Kim 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.
When was this NPI record last updated?
The NPPES record for Mi Seong Kim was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Mi Seong Kim, FNP · NPI 1073444170
Family physician in Montgomery, Alabama. Individual provider, active in the CMS NPPES registry since May 27, 2026.
## Identity
- **NPI:** 1073444170 (Entity type: Individual)
- **Enumerated:** May 27, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-146675 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 9540 WYNLAKES PL, Montgomery, AL 36117-8515
- **Phone:** (706) 616-3862
## 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): Vaughn Family Care LLC (NPI 1043599541, Montgomery, AL); Ourtown Family Care LLC (NPI 1801157706, Selma, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** May 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073444170) · Data from the CMS NPPES public registry.