MR. JONG WOO KIM APRN
NPI 1255037644
Nurse Practitioner - Acute Care in Gainesville, FL

Active since February 07, 2023PECOS Enrolled
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 273-5670(352) 273-5683 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 24, 2023, Feb 7, 2023 (2 updates tracked since 2023).

About Mr. Jong Woo Kim Aprn NPPES

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

MR. JONG WOO KIM APRN (NPI 1255037644) is an individual acute care provider in Gainesville, Florida, licensed in Florida (APRN11023432) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255037644
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. JONG WOO KIMCredential: APRN
Location Address1600 SW ARCHER RDGainesville, FL 32610-4104
Mailing AddressPo Box 100108Gainesville, FL 32610-0108 · (352) 273-5670 · Fax (352) 273-5683
Fax(352) 273-5683
Sole ProprietorNo
Enumeration DateFebruary 7, 2023
Last NPPES UpdateFebruary 24, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
NPI 1255037644 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
License Licensed in FL · APRN11023432
1600 SW ARCHER RD, Gainesville, FL 32610

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Jong Woo Kim Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610

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 Jong Kim's NPI number?

The NPI number for Jong Kim is 1255037644. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Where is Jong Kim located?

Jong Kim practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 273-5670.

What is Jong Kim's specialty?

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

Is Jong Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jong Kim was last updated on February 24, 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.