1. Home
  2. Directory
  3. Washington
  4. Tacoma
  5. Nurse Practitioner
  6. NPI Profile

MUSEONG KIM NP
NPI 1205440484
Nurse Practitioner - Family in Tacoma, WA

Active since September 03, 2020PECOS Enrolled
1148 BROADWAY STE 100, TACOMA, WA 98402(253) 441-4742 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 19, 2023, Sep 3, 2020 (2 updates tracked since 2020).

About Museong Kim Np NPPES

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

MUSEONG KIM NP (NPI 1205440484) is an individual family provider in Tacoma, Washington, licensed in Washington (AP61449904) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205440484
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMUSEONG KIMCredential: NP
Location Address1148 BROADWAY STE 100Tacoma, WA 98402-3518
Mailing Address1148 Broadway Ste 100Tacoma, WA 98402-3518 · (253) 441-4742
Phone(253) 441-4742
Sole ProprietorNo
Enumeration DateSeptember 3, 2020
Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
✔ NPI 1205440484 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 WA · AP61449904
1148 BROADWAY STE 100, Tacoma, WA 98402
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Museong Kim Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Museong Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Care
Same address
Federally Qualified Health Center (FQHC)
1148 BROADWAY STE 100
Tacoma, WA 98402
  • Reassigned Medicare billing, Washington enrollment
  • 98 clinicians in this Medicare group
NPI 1790762755 (253) 597-4550
Carbon Health Medical Group Of Florida PA
28 mi
Urgent Care
11100 NE 6TH ST
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 44 clinicians in this Medicare group
NPI 1689249096 (206) 350-7345

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98402 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.

MRS. LORI M WELLER CNP
Nurse Practitioner
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 589-7030
LISA PRICE RDH
Dental Hygienist
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 268-1184
JENNIFER TABAKIN MD
Pediatrics
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 597-4550
MAI PHUONG NGOC NGUYEN D.D.S.
Dentist
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 268-1170
CHAITRI DESAI
Pediatrics
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 471-4553
ASHLEY BURKHAMER RN
Registered Nurse
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 471-4553
MR. JOHN M GARCIA PA C
Physician Assistant (Medical)
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 722-2161
JESSICA ROSE SKELTON DO
Family Medicine
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 722-2161

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 Museong Kim's NPI number?

The NPI number for Museong Kim is 1205440484. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Museong Kim located?

Museong Kim practices at 1148 Broadway Ste 100, Tacoma, WA 98402. The listed phone number is (253) 441-4742.

What is Museong Kim's specialty?

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

Is Museong Kim enrolled in Medicare?

Yes. Museong Kim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Museong Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Museong Kim reassigns Medicare benefits to 2 organizations: Community Health Care (Tacoma, WA) and Carbon Health Medical Group Of Florida PA (Bellevue, WA). Each 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 Museong Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Museong Kim accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Museong 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 Museong Kim was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.