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SUK CHUL KIM AG-ACNP
NPI 1245968973
Nurse Practitioner - Acute Care in Charlottesville, VA

Active since August 10, 2022PECOS EnrolledAccepts Medicare Assignment
1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-2409(434) 982-4429 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2022, Aug 10, 2022 (2 updates tracked since 2022).

About Suk Chul Kim Ag-acnp NPPES

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

SUK CHUL KIM AG-ACNP (NPI 1245968973) is an individual acute care provider in Charlottesville, Virginia, licensed in Virginia (0024185025) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245968973
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameSUK CHUL KIMCredential: AG-ACNP
Location Address1215 LEE STCharlottesville, VA 22908-1165
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(434) 924-2409
Fax(434) 982-4429
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 10, 2022
Last NPPES UpdateNovember 23, 20222 updates tracked since enumeration
NPPES CertifiedNovember 23, 2022
✔ NPI 1245968973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in VA · 0024185025✔ Licensed in MD · R213897
1215 LEE ST, Charlottesville, VA 22908
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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

Suk Chul Kim Ag-acnp 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 ID8527438522
PECOS Enrollment IDI20240402003053, I20241115002829
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

NORMA BRANHAM R.N., N.P.
Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2047
FARNAZ M GAZONI MD
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
MARGARET K. SANDE M.D.
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2231
KATHERINE T, FORKIN M.D.
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
AMBER N. INOFUENTES M.D.
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-4288
JOY R MILLER PNP
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-2617
DR. DARREN GUFFEY M.D.
Dermatology
1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
SETH MORRISON MD
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-3627

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 Suk Chul Kim's NPI number?

The NPI number for Suk Chul Kim is 1245968973. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Suk Chul Kim located?

Suk Chul Kim practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-2409.

What is Suk Chul Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Suk Chul Kim enrolled in Medicare?

Yes. Suk Chul 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.

When was this NPI record last updated?

The NPPES record for Suk Chul Kim was last updated on November 23, 2022. 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.