JUNG MI KIM
NPI 1114497351
Nurse Practitioner - Family in Chantilly, VA

Active since November 30, 2018PECOS EnrolledAccepts Medicare Assignment
24795 PINEBROOK RD, CHANTILLY, VA 20152(866) 389-2727 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 5, 2018, Nov 30, 2018 (2 updates tracked since 2018).

About Jung Mi Kim NPPES

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

JUNG MI KIM (NPI 1114497351) is an individual family provider in Chantilly, Virginia, licensed in Virginia (0024176496) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and maintains a secondary practice location in South Riding.

NPPES Registry Identity

NPI1114497351
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJUNG MI KIM
Location Address24795 PINEBROOK RDChantilly, VA 20152-4239
Mailing Address11645 Leehigh DrFairfax, VA 22030-5641
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 30, 2018
Last NPPES UpdateDecember 5, 20182 updates tracked since enumeration
NPI 1114497351 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 · 0024176496
24795 PINEBROOK RD, Chantilly, VA 20152

Secondary Practice Location 1

Location 124795 Pinebrook RdSouth Riding, VA 20152-4239 · Phone (301) 787-2249

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

Jung Mi Kim 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 ID648516252
PECOS Enrollment IDI20190117002765, I20190215002502
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.

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.

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.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20152 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 7

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

Pharmacist
24795 PINEBROOK RD
SOUTH RIDING, VA 20152
Pharmacist
24795 PINEBROOK RD
SOUTH RIDING, VA 20152
Nurse Practitioner (Family)
24795 PINEBROOK RD
CHANTILLY, VA 20152
Pharmacy
24795 PINEBROOK RD
SOUTH RIDING, VA 20152
Nurse Practitioner (Family)
24795 PINEBROOK RD
SOUTH RIDING, VA 20152
Nurse Practitioner (Family)
24795 PINEBROOK RD
CHANTILLY, VA 20152
Nurse Practitioner (Family)
24795 PINEBROOK RD
CHANTILLY, VA 20152

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 Jung Kim's NPI number?

The NPI number for Jung Kim is 1114497351. It was assigned to this individual provider in the NPPES registry on November 30, 2018.

Where is Jung Kim located?

Jung Kim practices at 24795 Pinebrook Rd, Chantilly, VA 20152. The listed phone number is (866) 389-2727.

What is Jung Kim's specialty?

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

Is Jung Kim enrolled in Medicare?

Yes. Jung 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.

Is Jung Kim affiliated with any hospitals?

According to CMS data, Jung Kim is affiliated with Inova Alexandria Hospital.

When was this NPI record last updated?

The NPPES record for Jung Kim was last updated on December 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.