MICHELLE DASOM KIM NP
NPI 1316627086
Nurse Practitioner - Family in Manhasset, NY

Active since July 18, 2023PECOS EnrolledAccepts Medicare Assignment
400 COMMUNITY DR, MANHASSET, NY 11030(516) 562-0100 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Dasom Kim Np NPPES

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

MICHELLE DASOM KIM NP (NPI 1316627086) is an individual family provider in Manhasset, New York, licensed in New York (352176) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1316627086
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE DASOM KIMCredential: NP
Location Address400 COMMUNITY DRManhasset, NY 11030-3815
Mailing Address400 Community DrManhasset, NY 11030-3815 · (516) 562-0100
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
NPI 1316627086 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 NY · 352176
400 COMMUNITY DR, Manhasset, NY 11030

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

Michelle Dasom Kim Np 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 ID5395255293
PECOS Enrollment IDI20250610002149
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Northern Westchester Hospital

Acute Care Hospitals · Mount Kisco, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330162
Location400 East Main StreetMount Kisco, NY 10549 · Westchester County
Emergency services Birthing friendly

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Student in an Organized Health Care Education/Training Program
400 COMMUNITY DR
MANHASSET, NY 11030
Nurse Practitioner (Adult Health)
400 COMMUNITY DR
MANHASSET, NY 11030
Student in an Organized Health Care Education/Training Program
400 COMMUNITY DR, NORTHWELL HEALTH, NSLIJ, DEPT. OF DENTAL MEDICINE
MANHASSET, NY 11030
Psychologist (Psychoanalysis)
400 COMMUNITY DR
MANHASSET, NY 11030
Internal Medicine (Transplant Hepatology)
400 COMMUNITY DR
MANHASSET, NY 11030
Dietitian, Registered
400 COMMUNITY DR
MANHASSET, NY 11030
Dentist (General Practice)
400 COMMUNITY DR
MANHASSET, NY 11030
Clinical Neuropsychologist
400 COMMUNITY DR
MANHASSET, NY 11030

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 Michelle Kim's NPI number?

The NPI number for Michelle Kim is 1316627086. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Michelle Kim located?

Michelle Kim practices at 400 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 562-0100.

What is Michelle Kim's specialty?

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

Is Michelle Kim enrolled in Medicare?

Yes. Michelle 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.

Is Michelle Kim affiliated with any hospitals?

According to CMS data, Michelle Kim is affiliated with North Shore University Hospital, Lenox Hill Hospital, Northern Westchester Hospital and Phelps Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Kim was last updated on July 18, 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.