JI-YOUNG KIM ARNP
NPI 1164974978
Nurse Practitioner in Mukilteo, WA

Q: What is Ji-young Kim's NPI number?

The NPI number for Ji-young Kim is 1164974978. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Q: What is Ji-young Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ji-young Kim was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since October 27, 2016PECOS EnrolledAccepts Medicare Assignment

4410 106TH ST SW, MUKILTEO, WA 98275(425) 493-6000(425) 493-6030 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2019, Oct 27, 2016 (2 updates tracked since 2016).

On this page

About Ji-young Kim Arnp NPPES

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

JI-YOUNG KIM ARNP (NPI 1164974978) is an individual nurse practitioner in Mukilteo, Washington, licensed in Washington (AP60695726) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Everett, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1164974978

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJI-YOUNG KIMCredential: ARNP

Location Address4410 106TH ST SWMukilteo, WA 98275

Mailing AddressPo Box 5127Everett, WA 98206-5127 · (425) 493-6000 · Fax (425) 493-6030

Phone(425) 493-6000

Fax(425) 493-6030

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateOctober 27, 2016

Last NPPES UpdateMarch 7, 20192 updates tracked since enumeration

✔ NPI 1164974978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP60695726

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP 60695726 (WA)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP 60695726 (WA)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP 60695726 (WA)

4410 106TH ST SW, Mukilteo, WA 98275

Open in Google Maps ↗

Secondary Practice Location 1

Location 1916 Pacific AveEverett, WA 98201-4147 · Phone (425) 446-3000 · Fax (425) 446-3053

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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

Ji-young Kim Arnp 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 ID5799066973

PECOS Enrollment IDI20161230000158

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services16 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98275 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 20

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

CATHERINE HAWKINS

Internal Medicine