JIEUN KIM NP
NPI 1215820857
Nurse Practitioner - Family in Long Island City, NY
About Jieun Kim Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIEUN KIM NP (NPI 1215820857) is an individual family provider in Long Island City, New York, licensed in New York (F355145) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jieun Kim Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11101 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jieun Kim's NPI number?
The NPI number for Jieun Kim is 1215820857. It was assigned to this individual provider in the NPPES registry on June 2, 2025.
Where is Jieun Kim located?
Jieun Kim practices at 2218 Jackson Ave, Long Island City, NY 11101. The listed phone number is (718) 786-5506.
What is Jieun Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jieun Kim enrolled in Medicare?
Yes. Jieun Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jieun Kim was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jieun Kim, NP · NPI 1215820857
Family physician in Long Island City, New York. Individual provider, active in the CMS NPPES registry since June 2, 2025.
## Identity
- **NPI:** 1215820857 (Entity type: Individual)
- **Enumerated:** June 2, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F355145 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2218 JACKSON AVE, Long Island City, NY 11101-4950
- **Phone:** (718) 786-5506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215820857) · Data from the CMS NPPES public registry.