KWANG HYUN KIM APN
NPI 1093329021
Nurse Practitioner - Psychiatric/Mental Health in Aurora, CO

Q: What is Kwang Kim's NPI number?

The NPI number for Kwang Kim is 1093329021. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Q: What is Kwang Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kwang Kim was last updated on August 20, 2024. 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.

Active since September 08, 2020PECOS EnrolledAccepts Medicare Assignment

2675 S ABILENE ST STE 100, AURORA, CO 80014(720) 507-4779(833) 941-5047 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2024, May 5, 2023, Sep 8, 2020 (3 updates tracked since 2020).

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About Kwang Hyun Kim Apn NPPES

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

KWANG HYUN KIM APN (NPI 1093329021) is an individual psychiatric/mental health provider in Aurora, Colorado, licensed in Texas (AP139147) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093329021

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameKWANG HYUN KIMCredential: APN

Location Address2675 S ABILENE ST STE 100Aurora, CO 80014-2363

Mailing Address1005 S Shepherd Dr Apt 617Houston, TX 77019-3639 · (832) 837-9556

Phone(720) 507-4779

Fax(833) 941-5047

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 8, 2020

Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1093329021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · AP139147

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP139147 (TX)

2675 S ABILENE ST STE 100, Aurora, CO 80014

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Secondary Practice Locations 2

Location 11005 S Shepherd Dr Apt 617Houston, TX 77019-3639 · Phone (832) 837-9556

Location 214221 E 4th Ave Ste 2-126Aurora, CO 80011-8735 · Phone (720) 507-4779 · Fax (833) 941-5047

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Cigna Healthcare and more.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

Kwang Hyun Kim Apn 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.

PECOS PAC ID1557781135

PECOS Enrollment IDI20201020003480

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 Reassignments

Medicare enrollment records show Kwang Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mile High Psychiatry LLC

Same address

Psychiatric/Mental Health

2675 S ABILENE ST STE 100
Aurora, CO 80014

Reassigned Medicare billing, Colorado enrollment
41 clinicians in this Medicare group

NPI 1407681174 (720) 507-4779

Gulf Coast Clinical Assocaites LLC

867 mi

Adult Mental Health

1005 S SHEPHERD DR APT 617
Houston, TX 77019

Reassigned Medicare billing, Texas enrollment

NPI 1629707674 (832) 837-9556

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 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

249 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

243 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80014 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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 20

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

MANUEL MOLINA

Counselor (Professional)