KIM DIEP NP
NPI 1104768456
Nurse Practitioner - Family in Ashburn, VA

Active since April 07, 2026PECOS EnrolledAccepts Medicare Assignment
21035 SYCOLIN ROAD, SUITE 180, ASHBURN, VA 20147(703) 783-5673(703) 297-3919 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Diep Np NPPES

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

KIM DIEP NP (NPI 1104768456) is an individual family provider in Ashburn, Virginia, licensed in Virginia (0024196678) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104768456
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIM DIEPCredential: NP
Location Address21035 SYCOLIN ROAD, SUITE 180Ashburn, VA 20147-4311
Mailing Address224d Cornwall St Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010
Fax(703) 297-3919
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 7, 2026
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
NPI 1104768456 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
License Licensed in VA · 0024196678
21035 SYCOLIN ROAD, Ashburn, VA 20147

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

Kim Diep Np 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 ID4880160266
PECOS Enrollment IDI20260414004022
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 20147 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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

Nurse Practitioner (Family)
21035 SYCOLIN ROAD, SUITE 180
ASHBURN, VA 20147

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 Kim Diep's NPI number?

The NPI number for Kim Diep is 1104768456. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Where is Kim Diep located?

Kim Diep practices at 21035 Sycolin Road Suite 180, Ashburn, VA 20147. The listed phone number is (703) 783-5673.

What is Kim Diep's specialty?

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

Is Kim Diep enrolled in Medicare?

Yes. Kim Diep 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.

When was this NPI record last updated?

The NPPES record for Kim Diep was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 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.