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MICHELLE HEESUNG KIM
NPI 1104467620
Nurse Practitioner - Family in Oklahoma City, OK

Active since October 06, 2019PECOS Enrolled
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109(405) 636-7000 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2021, Oct 6, 2019 (2 updates tracked since 2019).

About Michelle Heesung Kim NPPES

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

MICHELLE HEESUNG KIM (NPI 1104467620) is an individual family provider in Oklahoma City, Oklahoma, licensed in Washington (AP61045635) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104467620
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE HEESUNG KIM
Location Address4401 S WESTERN AVEOklahoma City, OK 73109-3413
Mailing AddressPo Box 5614Norman, OK 73070-5614 · (405) 636-7000
Phone(405) 636-7000
Sole ProprietorYes
Enumeration DateOctober 6, 2019
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1104467620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in WA · AP61045635✔ Licensed in OK · R0113839
4401 S WESTERN AVE, Oklahoma City, OK 73109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Heesung Kim 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73109 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

DR. HUNTER DALE COOK D.O
Emergency Medicine
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7709
MARCIA R PALMER PA
Physician Assistant
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 713-4740
DR. DAVID BRENNAN DO
Emergency Medicine
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7000
DR. LAUREN L. FITZGERALD MD
Anesthesiology
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (918) 392-2944
MS. JILL DIMOND MOORE MS, C.C.C.
Speech-Language Pathologist
4401 S WESTERN AVE, DEPT. 2004215
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7131
DR. JUSTIN ANDRE NALAGAN M.D.
Hospitalist
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 713-7403
DAVID ALEXANDER ORBAN DO
Emergency Medicine
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7000
MATTHEW RAY WHITTAKER DO
Emergency Medicine
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7195

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 Michelle Kim's NPI number?

The NPI number for Michelle Kim is 1104467620. It was assigned to this individual provider in the NPPES registry on October 6, 2019.

Where is Michelle Kim located?

Michelle Kim practices at 4401 S Western Ave, Oklahoma City, OK 73109. The listed phone number is (405) 636-7000.

What is Michelle Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Kim enrolled in Medicare?

Yes. Michelle Kim is registered in the Medicare PECOS enrollment system.

What insurance does Michelle Kim accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Michelle 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 Michelle Kim was last updated on January 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.