GRACE SUN KIM PA
NPI 1275249740
Physician Assistant - Medical in Nellis Afb, NV
About Grace Sun Kim Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE SUN KIM PA (NPI 1275249740) is an individual medical provider in Nellis Afb, Nevada and active in the NPI registry since January 2023. 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)
Grace Sun Kim Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Grace Kim's NPI number?
The NPI number for Grace Kim is 1275249740. It was assigned to this individual provider in the NPPES registry on January 27, 2023.
Where is Grace Kim located?
Grace Kim practices at 4700 Las Vegas Blvd N, Nellis Afb, NV 89191. The listed phone number is (702) 653-2273.
What is Grace Kim's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Grace Kim enrolled in Medicare?
Yes. Grace Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Grace Kim was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Grace Sun Kim, PA · NPI 1275249740
Medical physician in Nellis Afb, Nevada. Individual provider, active in the CMS NPPES registry since January 27, 2023.
## Identity
- **NPI:** 1275249740 (Entity type: Individual)
- **Enumerated:** January 27, 2023
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191-6600
- **Phone:** (702) 653-2273
## 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 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275249740) · Data from the CMS NPPES public registry.