TAE KYUNG KIM PMHNP
NPI 1265253546
Nurse Practitioner - Psychiatric/Mental Health in Falls Church, VA
About Tae Kyung Kim Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAE KYUNG KIM PMHNP (NPI 1265253546) is an individual psychiatric/mental health provider in Falls Church, Virginia, licensed in Virginia (0024191909) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Tae Kyung Kim Pmhnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Tae Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Reston, VA 20191
- Reassigned Medicare billing, District of Columbia enrollment
- 21 clinicians in this Medicare group
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 22042 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FALLS CHURCH, VA 22042
FALLS CHURCH, VA 22042
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 Tae Kim's NPI number?
The NPI number for Tae Kim is 1265253546. It was assigned to this individual provider in the NPPES registry on October 21, 2024.
Where is Tae Kim located?
Tae Kim practices at 6565 Arlington Blvd Ste 405, Falls Church, VA 22042. The listed phone number is (571) 946-2189.
What is Tae Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Tae Kim enrolled in Medicare?
Yes. Tae 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 organization bills Medicare for Tae Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tae Kim reassigns Medicare benefits to My Psychiatrist LLC (Reston, VA). The 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 Tae Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tae Kim accept?
Health plans from Oscar Health list Tae 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 Tae Kim was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Tae Kyung Kim, PMHNP · NPI 1265253546
Psychiatric/Mental Health physician in Falls Church, Virginia. Individual provider, active in the CMS NPPES registry since October 21, 2024.
## Identity
- **NPI:** 1265253546 (Entity type: Individual)
- **Enumerated:** October 21, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0024191909 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6565 ARLINGTON BLVD STE 405, Falls Church, VA 22042-3000
- **Phone:** (571) 946-2189
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** My Psychiatrist LLC (NPI 1295048684, Reston, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265253546) · Data from the CMS NPPES public registry.