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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: November 01, 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 Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mi Jeong Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Physician Specialists Arizona LLC
7.1 mi
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 538 clinicians in this Medicare group
NPI 1033730429 (602) 747-4000
Strategies For Success Consulting, PC
14 mi
Clinical
3377 S PRICE RD STE 103
Chandler, AZ 85248
  • Reassigned Medicare billing, Arizona enrollment
  • 9 clinicians in this Medicare group
NPI 1306196878 (480) 252-5152
Mindful Therapy Group PC
1,128 mi
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Arizona enrollment
  • 52 clinicians in this Medicare group
NPI 1316238678 (425) 640-7009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 9

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
ROBERT PEER
Nurse Practitioner (Psychiatric/Mental Health)
1250 W WASHINGTON ST STE 215
TEMPE, AZ 85288
Maricopa County (909) 855-1172
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.

Which organizations bill Medicare for Mi Jeong Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mi Jeong Kim reassigns Medicare benefits to 3 organizations: Banner Physician Specialists Arizona LLC (Phoenix, AZ), Strategies For Success Consulting, PC (Chandler, AZ) and Mindful Therapy Group PC (Mountlake Terrace, WA). Each 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 Mi Jeong Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mi Jeong Kim accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. and 1 other insurer 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 17 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.