WANSEUNG KIM APRN
NPI 1104547769
Nurse Practitioner - Family in Las Vegas, NV
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, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Wanseung Kim Aprn 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.
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.
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.
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Wanseung Kim accept?
Health plans from Ambetter from Arizona Complete Health 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 11 days 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.
# Wanseung Kim, APRN · NPI 1104547769
Family physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since September 12, 2022.
## Identity
- **NPI:** 1104547769 (Entity type: Individual)
- **Enumerated:** September 12, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 856178 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 3150 N TENAYA WAY STE 525, Las Vegas, NV 89128-0465
- **Phone:** (725) 204-6520
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104547769) · Data from the CMS NPPES public registry.