BOYOUNG KIM PA-C
NPI 1316634173
Physician Assistant - Medical in Jackson, MI

Q: What is Boyoung Kim's NPI number?

The NPI number for Boyoung Kim is 1316634173. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Q: What is Boyoung Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Boyoung Kim was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 21, 2023PECOS EnrolledAccepts Medicare Assignment

1055 LAURENCE AVE, JACKSON, MI 49202(517) 273-4343 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Boyoung Kim Pa-c NPPES

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

BOYOUNG KIM PA-C (NPI 1316634173) is an individual medical provider in Jackson, Michigan, licensed in Michigan (5601012203) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Ann Arbor Hospital, and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1316634173

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameBOYOUNG KIMCredential: PA-C

Location Address1055 LAURENCE AVEJackson, MI 49202-2964

Mailing Address2732 Barclay WayAnn Arbor, MI 48105-9458 · (734) 709-3908

Phone(517) 273-4343

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 21, 2023

Last NPPES UpdateJanuary 8, 2024

NPPES CertifiedJanuary 8, 2024

✔ NPI 1316634173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601012203

1055 LAURENCE AVE, Jackson, MI 49202

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Secondary Practice Location 1

Location 12348 Jonathon CtAnn Arbor, MI 48108-2525 · Phone (734) 709-3908

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

Boyoung Kim Pa-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 ID8729422811

PECOS Enrollment IDI20240216001122

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.

45 services45 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.

38 services38 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

17 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230156

Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County

Emergency services Birthing friendly

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.

DOCTORS URGENT CARE WALK IN CLINIC JACKSON

Clinic/Center (Urgent Care)

1055 LAURENCE AVE
JACKSON, MI 49202

Jackson County (734) 890-4627

DOCTORS PRIMARY CARE CLINIC

Family Medicine

1055 LAURENCE AVE
JACKSON, MI 49202

Jackson County (517) 273-4343

TERESA LYNN SIENKIEWICZ FNP

Nurse Practitioner (Family)

1055 LAURENCE AVE
JACKSON, MI 49202

Jackson County (734) 890-4627

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 Boyoung Kim's NPI number?

The NPI number for Boyoung Kim is 1316634173. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Where is Boyoung Kim located?

Boyoung Kim practices at 1055 Laurence Ave, Jackson, MI 49202. The listed phone number is (517) 273-4343.

What is Boyoung Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Boyoung Kim enrolled in Medicare?

Yes. Boyoung 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 Boyoung Kim affiliated with any hospitals?

According to CMS data, Boyoung Kim is affiliated with Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Boyoung Kim was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.