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WANSEUNG KIM APRN
NPI 1104547769
Nurse Practitioner - Family in Las Vegas, NV

Active since September 12, 2022PECOS Enrolled
3150 N TENAYA WAY STE 525, LAS VEGAS, NV 89128(725) 204-6520 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 4, 2026, Feb 21, 2025, Sep 12, 2022 (3 updates tracked since 2022).

About Wanseung Kim Aprn NPPES

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

WANSEUNG KIM APRN (NPI 1104547769) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (856178) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1104547769
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameWANSEUNG KIMCredential: APRN
Location Address3150 N TENAYA WAY STE 525Las Vegas, NV 89128-0465
Mailing Address5367 Peacock Lily StLas Vegas, NV 89113-1267 · (702) 218-0133
Phone(725) 204-6520
Sole ProprietorNo
Enumeration DateSeptember 12, 2022
Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1104547769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · 856178
Also ListedRegistered NurseTaxonomy 163W00000X · License RN67339 (NV)
3150 N TENAYA WAY STE 525, Las Vegas, NV 89128
Open in Google Maps ↗

Other Names 1

Other Name (5)Vincent Wanseung Kim Aprn

Secondary Practice Location 1

Location 12235 E Flamingo Rd Ste 208Las Vegas, NV 89119-5152 · Phone (702) 760-0341

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wanseung Kim Aprn 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 Reassignments

5

Medicare enrollment records show Wanseung Kim reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Robert Todd Riggio MD PC
Same address
Neurology
3150 N TENAYA WAY STE 525
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 9 clinicians in this Medicare group
NPI 1508687047 (725) 204-6520
Upbeat Health PLLC
4.5 mi
Multi-Specialty
1811 S RAINBOW BLVD STE 201
Las Vegas, NV 89146
  • Reassigned Medicare billing, Nevada enrollment
  • 6 clinicians in this Medicare group
NPI 1851043467 (702) 996-7877
Homebase Care Casal PLLC
5.3 mi
Community/Behavioral Health
3312 W CHARLESTON BLVD
Las Vegas, NV 89102
  • Reassigned Medicare billing, Nevada enrollment
  • Medicare enrollment name: Medtrans Medical Nevada Casal PLLC
  • 74 clinicians in this Medicare group
NPI 1659836443 (702) 410-7825
Aspire Medical Center LLC
10 mi
Family Medicine
6870 S RAINBOW BLVD STE 106-107
Las Vegas, NV 89118
  • Reassigned Medicare billing, Nevada enrollment
  • 7 clinicians in this Medicare group
NPI 1851153027 (702) 750-0659
Meilan L Daguman Aprn PLLC
11 mi
Primary Care
4560 S EASTERN AVE STE 15
Las Vegas, NV 89119
  • Reassigned Medicare billing, Nevada enrollment
  • 8 clinicians in this Medicare group
NPI 1023568037 (702) 994-7267

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 89128 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 5

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

ROBERT TODD RIGGIO MD PC
Psychiatry & Neurology (Neurology)
3150 N TENAYA WAY STE 525
LAS VEGAS, NV 89128
Clark County (725) 204-6520
JOHN TRAVIS BLAKEMORE APRN
Nurse Practitioner
3150 N TENAYA WAY STE 525
LAS VEGAS, NV 89128
Clark County (725) 204-6520
PACIFIC WEST MEDICAL GROUP LLC
Pediatrics (Pediatric Endocrinology)
3150 N TENAYA WAY STE 525
LAS VEGAS, NV 89128
Clark County (725) 204-6520
LAS VEGAS GASTROENTEROLOGY ASSOCIATE LLC
Internal Medicine (Gastroenterology)
3150 N TENAYA WAY STE 525
LAS VEGAS, NV 89128
Clark County (702) 641-4220
DR. ROBERT RIGGIO M.D.
Psychiatry & Neurology (Neurology)
3150 N TENAYA WAY STE 525
LAS VEGAS, NV 89128
Clark County (725) 204-6520

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 Wanseung Kim's NPI number?

The NPI number for Wanseung Kim is 1104547769. It was assigned to this individual provider in the NPPES registry on September 12, 2022. The provider is also known as Vincent Wanseung Kim Aprn.

Where is Wanseung Kim located?

Wanseung Kim practices at 3150 N Tenaya Way Ste 525, Las Vegas, NV 89128. The listed phone number is (725) 204-6520.

What is Wanseung Kim's specialty?

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

Is Wanseung Kim enrolled in Medicare?

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

Which organizations bill Medicare for Wanseung Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wanseung Kim reassigns Medicare benefits to 5 organizations: Robert Todd Riggio MD PC (Las Vegas, NV), Upbeat Health PLLC (Las Vegas, NV), Homebase Care Casal PLLC (Las Vegas, NV), Aspire Medical Center LLC (Las Vegas, NV) and Meilan L Daguman Aprn PLLC (Las Vegas, NV). 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 Wanseung Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wanseung Kim accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Wanseung 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 Wanseung Kim was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.