SO KIM FNP-C
NPI 1285183723
Nurse Practitioner - Family in O Fallon, MO
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show So Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Leawood, KS 66211
- Reassigned Medicare billing, Missouri enrollment
- 170 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.
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.
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.
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.
O FALLON, MO 63368
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.
Which organization bills Medicare for So Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), So Kim reassigns Medicare benefits to Minuteclinic Diagnostic Of Kansas PA (Leawood, KS). 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 So Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for So Kim was last updated on December 15, 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.
# So Kim, FNP-C · NPI 1285183723
Family physician in O Fallon, Missouri. Individual provider, active in the CMS NPPES registry since September 26, 2016.
## Identity
- **NPI:** 1285183723 (Entity type: Individual)
- **Enumerated:** September 26, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2016034713 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3002 HIGHWAY K, O Fallon, MO 63368-8675
- **Phone:** (866) 389-2727
## 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:** Minuteclinic Diagnostic Of Kansas PA (NPI 1629005558, Leawood, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** December 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1285183723) · Data from the CMS NPPES public registry.