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IVY KIM-AGUILAR ARNP
NPI 1417581992
Nurse Practitioner - Family in Olympia, WA

Active since February 24, 2020PECOS EnrolledAccepts Medicare Assignment
500 LILLY RD NE STE 100, OLYMPIA, WA 98506(360) 413-8525(360) 412-6477 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2021, Aug 25, 2021, Feb 25, 2020 (3 updates tracked since 2020).

About Ivy Kim-aguilar Arnp NPPES

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

IVY KIM-AGUILAR ARNP (NPI 1417581992) is an individual family provider in Olympia, Washington, licensed in Washington (AP61180555) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Grays Harbor Community Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417581992
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIVY KIM-AGUILARCredential: ARNP
Location Address500 LILLY RD NE STE 100Olympia, WA 98506-5195
Mailing AddressPo Box 3360Portland, OR 97208-3360
Phone(360) 413-8525
Fax(360) 412-6477
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 24, 2020
Last NPPES UpdateNovember 10, 20213 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
✔ NPI 1417581992 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 WA · AP61180555
500 LILLY RD NE STE 100, Olympia, WA 98506
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Ivy Kim-aguilar Arnp 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 ID3779989579
PECOS Enrollment IDI20210902000684
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

5

Medicare enrollment records show Ivy Kim-aguilar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Washington
0.1 mi
Family Medicine
525 LILLY RD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 646 clinicians in this Medicare group
NPI 1174744304 (360) 793-7230
Public Hospital District No 1 Of Mason County
4.5 mi
Podiatric
2964B LIMITED LN NW
Olympia, WA 98502
  • Reassigned Medicare billing, Washington enrollment
  • 154 clinicians in this Medicare group
NPI 1740642024 (360) 943-1400
Multicare Health System
4.9 mi
Pediatrics
1920 BLACK LAKE BLVD SW
Olympia, WA 98512
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1831609775 (360) 534-9222
Grays Harbor County Public Hospital District No. 1
20 mi
Rural Health
105 W SIMPSON AVE
Mccleary, WA 98557
  • Reassigned Medicare billing, Washington enrollment
  • 138 clinicians in this Medicare group
NPI 1255401683 (360) 346-2222
Grays Harbor Community Hospital
26 mi
Rehabilitation Unit
575 E MAIN ST, BUILDING 1 SUIET A
Elma, WA 98541
  • Reassigned Medicare billing, Washington enrollment
  • 190 clinicians in this Medicare group
NPI 1073763314 (360) 537-6116

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 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
87 services75 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services68 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Grays Harbor Community Hospital

Acute Care Hospitals · Aberdeen, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500031
Location915 Anderson DriveAberdeen, WA 98520 · Grays Harbor County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Capital Medical Center

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500139
Location3900 Capital Mall Dr SWOlympia, WA 98502 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

LINDA YUEN LI
Nurse Practitioner (Family)
500 LILLY RD NE STE 100
OLYMPIA, WA 98506
Thurston County (360) 413-8525
BRAD ALLAN HOWARD DO
Internal Medicine (Cardiovascular Disease)
500 LILLY RD NE STE 100
OLYMPIA, WA 98506
Thurston County (360) 413-8525
DR. YING CHI YANG MD
Internal Medicine (Cardiovascular Disease)
500 LILLY RD NE STE 100
OLYMPIA, WA 98506
Thurston County (360) 413-8525
MRS. NICOLE ANNE WOODARD PA-C
Physician Assistant
500 LILLY RD NE STE 100
OLYMPIA, WA 98506
Thurston County (360) 413-8525
NATASHA P ARORA MD
Internal Medicine (Cardiovascular Disease)
500 LILLY RD NE STE 100, PROVIDENCE CARDIOLOGY ASSOCIATES
OLYMPIA, WA 98506
Thurston County (360) 413-8525
KATHARINE SHEBESTA PHYSICIAN ASSISTANT
Physician Assistant (Medical)
500 LILLY RD NE STE 100
OLYMPIA, WA 98506
Thurston County (360) 413-8525
GABRIELLE A HUDSON ARNP
Nurse Practitioner
500 LILLY RD NE STE 100
OLYMPIA, WA 98506
Thurston County (360) 413-8525
YUXUAN HU MD
Internal Medicine (Cardiovascular Disease)
500 LILLY RD NE STE 100
OLYMPIA, WA 98506
Thurston County (360) 413-8525

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 Ivy Kim-aguilar's NPI number?

The NPI number for Ivy Kim-aguilar is 1417581992. It was assigned to this individual provider in the NPPES registry on February 24, 2020.

Where is Ivy Kim-aguilar located?

Ivy Kim-aguilar practices at 500 Lilly Rd NE Ste 100, Olympia, WA 98506. The listed phone number is (360) 413-8525.

What is Ivy Kim-aguilar's specialty?

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

Is Ivy Kim-aguilar enrolled in Medicare?

Yes. Ivy Kim-aguilar 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 Ivy Kim-aguilar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Kim-aguilar reassigns Medicare benefits to 5 organizations: Providence Health & Services Washington (Olympia, WA), Public Hospital District No 1 Of Mason County (Olympia, WA), Multicare Health System (Olympia, WA), Grays Harbor County Public Hospital District No. 1 (Mccleary, WA) and Grays Harbor Community Hospital (Elma, 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 Ivy Kim-aguilar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivy Kim-aguilar accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ivy Kim-aguilar 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.

Is Ivy Kim-aguilar affiliated with any hospitals?

According to CMS data, Ivy Kim-aguilar is affiliated with Grays Harbor Community Hospital, Tacoma General Allenmore Hospital and Capital Medical Center.

When was this NPI record last updated?

The NPPES record for Ivy Kim-aguilar was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.