KELLY CHRISTINE KIM
NPI 1124770078
Nurse Practitioner - Acute Care in New York, NY
About Kelly Christine Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY CHRISTINE KIM (NPI 1124770078) is an individual acute care provider in New York, New York, licensed in New York (432249) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Christine 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyu Langone Hospitals
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10016 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Kelly Kim's NPI number?
The NPI number for Kelly Kim is 1124770078. It was assigned to this individual provider in the NPPES registry on January 21, 2022.
Where is Kelly Kim located?
Kelly Kim practices at 550 1st Ave, New York, NY 10016. The listed phone number is (646) 929-7800.
What is Kelly Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kelly Kim enrolled in Medicare?
Yes. Kelly 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.
Which organization bills Medicare for Kelly Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kim reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Kelly Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelly Kim affiliated with any hospitals?
According to CMS data, Kelly Kim is affiliated with Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Kelly Kim was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kelly Christine Kim · NPI 1124770078
Acute Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since January 21, 2022.
## Identity
- **NPI:** 1124770078 (Entity type: Individual)
- **Enumerated:** January 21, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 432249 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 1ST AVE, New York, NY 10016-6402
- **Phone:** (646) 929-7800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124770078) · Data from the CMS NPPES public registry.