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SO KIM FNP-C
NPI 1285183723
Nurse Practitioner - Family in O Fallon, MO

Active since September 26, 2016PECOS EnrolledAccepts Medicare Assignment
3002 HIGHWAY K, O FALLON, MO 63368(866) 389-2727 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2022, Nov 25, 2022, Jan 17, 2019 and 2 more (5 updates tracked since 2016).

About So Kim Fnp-c NPPES

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

SO KIM FNP-C (NPI 1285183723) is an individual family provider in O Fallon, Missouri, licensed in Missouri (2016034713) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1285183723
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSO KIMCredential: FNP-C
Location Address3002 HIGHWAY KO Fallon, MO 63368-8675
Mailing Address3002 Highway KO Fallon, MO 63368-8675 · (866) 389-2727
Phone(866) 389-2727
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 26, 2016
Last NPPES UpdateDecember 15, 20225 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1285183723 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 MO · 2016034713
3002 HIGHWAY K, O Fallon, MO 63368
Open in Google Maps ↗

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

So 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 ID2961777016
PECOS Enrollment IDI20170929001073
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63368 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 12

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

MISSOURI CVS PHARMACY LLC
Pharmacy
3002 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 272-5856
REGIS KETTER OCAMPOS GOAD
Pharmacist
3002 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 272-5856
DORA ELLEGOOD
Pharmacist
3002 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 272-5856
DR. KUNJAL BHAKTA PHARM.D.
Pharmacist
3002 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 272-5856
DR. BRIDGETTE SLAUGHTER PHARMD
Pharmacist
3002 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 272-5856
CHRISTINA RENEE ROYBAL FNP-BC, PMHNP-BC
Nurse Practitioner (Family)
3002 HIGHWAY K, CLINIC 6477
O FALLON, MO 63368
St. Charles County (636) 272-5856
BRIANA AWUAME ADAMU CNP
Nurse Practitioner (Family)
3002 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 272-5856
MRS. JAMIE LYNN CASSANI APRN, FNP-C
Nurse Practitioner (Family)
3002 HIGHWAY K
O FALLON, MO 63368
St. Charles County (866) 389-2727

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 So Kim's NPI number?

The NPI number for So Kim is 1285183723. It was assigned to this individual provider in the NPPES registry on September 26, 2016.

Where is So Kim located?

So Kim practices at 3002 Highway K, O Fallon, MO 63368. The listed phone number is (866) 389-2727.

What is So Kim's specialty?

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

Is So Kim enrolled in Medicare?

Yes. So 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 So Kim was last updated on December 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.