JOANNA KIM AGACNP-BC
NPI 1083034847
Nurse Practitioner - Acute Care in Baltimore, MD
About Joanna Kim Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOANNA KIM AGACNP-BC (NPI 1083034847) is an individual acute care provider in Baltimore, Maryland, licensed in Maryland (R187817) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Joanna Kim Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Joanna Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Shock Trauma Associates PA
- 541 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 21201 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.
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.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 Joanna Kim's NPI number?
The NPI number for Joanna Kim is 1083034847. It was assigned to this individual provider in the NPPES registry on April 21, 2014.
Where is Joanna Kim located?
Joanna Kim practices at 22 S Greene St Department Of Orthopaedics, Baltimore, MD 21201. The listed phone number is (410) 328-3700.
What is Joanna Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Joanna Kim enrolled in Medicare?
Yes. Joanna Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Joanna Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joanna Kim reassigns Medicare benefits to Shock Trauma Associates, P.A. (Baltimore, MD). 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 Joanna 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 Joanna Kim was last updated on December 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Joanna Kim, AGACNP-BC · NPI 1083034847
Acute Care physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since April 21, 2014.
## Identity
- **NPI:** 1083034847 (Entity type: Individual)
- **Enumerated:** April 21, 2014
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** R187817 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 S GREENE ST, DEPARTMENT OF ORTHOPAEDICS, Baltimore, MD 21201-1544
- **Phone:** (410) 328-3700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Shock Trauma Associates, P.A. (NPI 1679512909, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1083034847) · Data from the CMS NPPES public registry.