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MI JEONG KIM
NPI 1346073939
Nurse Practitioner - Psychiatric/Mental Health in Tempe, AZ

Active since August 21, 2024PECOS EnrolledAccepts Medicare Assignment
1250 W WASHINGTON ST STE 215, TEMPE, AZ 85288(928) 272-7224(480) 956-0829 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 31, 2025, Aug 21, 2024 (2 updates tracked since 2024).

About Mi Jeong Kim NPPES

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

MI JEONG KIM (NPI 1346073939) is an individual psychiatric/mental health provider in Tempe, Arizona, licensed in Arizona (313108) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1346073939
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMI JEONG KIM
Location Address1250 W WASHINGTON ST STE 215Tempe, AZ 85288-1697
Mailing Address4539 N 22nd St Ste BPhoenix, AZ 85016-4639 · (520) 499-0778 · Fax (480) 956-0829
Phone(928) 272-7224
Fax(480) 956-0829
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 21, 2024
Last NPPES UpdateMay 31, 20252 updates tracked since enumeration
NPPES CertifiedMay 31, 2025
✔ NPI 1346073939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 313108
1250 W WASHINGTON ST STE 215, Tempe, AZ 85288
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

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

Mi Jeong Kim 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 ID9739609249
PECOS Enrollment IDI20250226003444
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85288 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 7

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

TENISHA KNOX-WILLIAMS
Counselor (Mental Health)
1250 W WASHINGTON ST STE 215
TEMPE, AZ 85288
Maricopa County (602) 842-7042
LENOX ABRAHAM FONTAINE
Social Worker (Clinical)
1250 W WASHINGTON ST STE 215
TEMPE, AZ 85288
Maricopa County (928) 236-2008
SAMUEL JACOB VADASZ-CHATES LMSW
Counselor (Mental Health)
1250 W WASHINGTON ST STE 215
TEMPE, AZ 85288
Maricopa County (602) 842-7042
MRS. VIVIAN NELSON MELLE MC, LAC
Counselor (Professional)
1250 W WASHINGTON ST STE 215
TEMPE, AZ 85288
Maricopa County (602) 842-7042
LASHAY COBBS
Social Worker
1250 W WASHINGTON ST STE 215
TEMPE, AZ 85288
Maricopa County (623) 845-2701
VALERIE SELMA NIEMELA JOHNSON
Counselor (Mental Health)
1250 W WASHINGTON ST STE 215
TEMPE, AZ 85288
Maricopa County (602) 842-7042
COURTNEY PARMER
Social Worker (Clinical)
1250 W WASHINGTON ST STE 215
TEMPE, AZ 85288
Maricopa County (928) 236-2008

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 Mi Jeong Kim's NPI number?

The NPI number for Mi Jeong Kim is 1346073939. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Mi Jeong Kim located?

Mi Jeong Kim practices at 1250 W Washington St Ste 215, Tempe, AZ 85288. The listed phone number is (928) 272-7224.

What is Mi Jeong Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mi Jeong Kim enrolled in Medicare?

Yes. Mi Jeong 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.

What insurance does Mi Jeong Kim accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Mi Jeong Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mi Jeong Kim was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.