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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

YIPYO KIM FNP-C
NPI 1245053735
Nurse Practitioner - Family in Tulsa, OK

Active since November 04, 2024PECOS Enrolled
1919 S WHEELING AVE STE 200, TULSA, OK 74104(918) 748-7600(918) 403-6316 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Jan 9, 2026, Nov 4, 2024 (3 updates tracked since 2024).

About Yipyo Kim Fnp-c NPPES

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

YIPYO KIM FNP-C (NPI 1245053735) is an individual family provider in Tulsa, Oklahoma, licensed in Oklahoma (220771) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1245053735
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameYIPYO KIMCredential: FNP-C
Location Address1919 S WHEELING AVE STE 200Tulsa, OK 74104-5631
Mailing Address1923 S Utica AveTulsa, OK 74104-6520 · (844) 272-2500
Phone(918) 748-7600
Fax(918) 403-6316
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 4, 2024
Last NPPES UpdateOctober 29, 20263 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1245053735 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 OK · 220771
1919 S WHEELING AVE STE 200, Tulsa, OK 74104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

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

Yipyo Kim Fnp-c 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 ID5395273023
PECOS Enrollment IDI20250109000554
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

3

Medicare enrollment records show Yipyo Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. John Physicians, Inc.
0.1 mi
Internal Medicine
1923 S UTICA AVE, DAVIS TOWER 200
Tulsa, OK 74104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 820 clinicians in this Medicare group
NPI 1336194406 (918) 744-2345
Tulsa Emergency Medical Center Inc
6.4 mi
Urgent Care
2929 S GARNETT RD
Tulsa, OK 74129
  • Reassigned Medicare billing, Oklahoma enrollment
  • 104 clinicians in this Medicare group
NPI 1063479087 (918) 665-1520
Medical Resource Management, LLC
95 mi
Urgent Care
16205 N PENNSYLVANIA AVE
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 171 clinicians in this Medicare group
NPI 1104056365 (405) 705-5700

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 74104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 5

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

MRS. NATALIE ARLENE SUMMERLIN FNP
Nurse Practitioner (Family)
1919 S WHEELING AVE STE 200
TULSA, OK 74104
Tulsa County (918) 748-7600
MRS. COURTNEY ELIZABETH GIBSON MSN , APRN, FNP-C
Nurse Practitioner (Family)
1919 S WHEELING AVE STE 200
TULSA, OK 74104
Tulsa County (918) 748-7600
MARY ANN WARNER CARROLL PA-C
Physician Assistant
1919 S WHEELING AVE STE 200
TULSA, OK 74104
Tulsa County (918) 403-7089
MRS. SUREKHA MANJUNATH KAMATH RD/LD
Dietitian, Registered
1919 S WHEELING AVE STE 200
TULSA, OK 74104
Tulsa County (918) 748-7628
RAMON ANTONIO RAMIREZ APRN
Nurse Practitioner (Family)
1919 S WHEELING AVE STE 200
TULSA, OK 74104
Tulsa County (918) 748-7633

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 Yipyo Kim's NPI number?

The NPI number for Yipyo Kim is 1245053735. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Where is Yipyo Kim located?

Yipyo Kim practices at 1919 S Wheeling Ave Ste 200, Tulsa, OK 74104. The listed phone number is (918) 748-7600.

What is Yipyo Kim's specialty?

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

Is Yipyo Kim enrolled in Medicare?

Yes. Yipyo 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 organizations bill Medicare for Yipyo Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yipyo Kim reassigns Medicare benefits to 3 organizations: St. John Physicians, Inc. (Tulsa, OK), Tulsa Emergency Medical Center Inc (Tulsa, OK) and Medical Resource Management, LLC (Edmond, OK). 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 Yipyo Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yipyo Kim accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Yipyo 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 Yipyo Kim was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.