JANNIE RENE KIM APRN
NPI 1417670290
Nurse Practitioner - Primary Care in Rockville, MD

Active since September 26, 2022PECOS EnrolledAccepts Medicare Assignment
7955 TUCKERMAN LN, ROCKVILLE, MD 20854(866) 389-2727 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 27, 2022, Sep 26, 2022 (2 updates tracked since 2022).

About Jannie Rene Kim Aprn NPPES

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

JANNIE RENE KIM APRN (NPI 1417670290) is an individual primary care provider in Rockville, Maryland, licensed in Maryland (R255370) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417670290
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJANNIE RENE KIMCredential: APRN
Location Address7955 TUCKERMAN LNRockville, MD 20854-3243
Mailing Address7955 Tuckerman LnRockville, MD 20854-3243 · (478) 335-6759
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 26, 2022
Last NPPES UpdateOctober 27, 20222 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
NPI 1417670290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MD · R255370
7955 TUCKERMAN LN, Rockville, MD 20854

Other Names 1

Former Name (1)Jannie Rene Suratos

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

Jannie Rene Kim Aprn 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 ID5395114128
PECOS Enrollment IDI20221219000753
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 9

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.
122 services95 patients
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.
120 services81 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
30 services30 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
14 services14 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20854 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Pharmacist
7955 TUCKERMAN LN
ROCKVILLE, MD 20854
Nurse Practitioner (Family)
7955 TUCKERMAN LN
ROCKVILLE, MD 20854
Nurse Practitioner (Family)
7955 TUCKERMAN LN
ROCKVILLE, MD 20854
Pharmacist
7955 TUCKERMAN LN
POTOMAC, MD 20854
Nurse Practitioner (Family)
7955 TUCKERMAN LN
ROCKVILLE, MD 20854
Physician Assistant
7955 TUCKERMAN LN
ROCKVILLE, MD 20854
Nurse Practitioner (Family)
7955 TUCKERMAN LN
ROCKVILLE, MD 20854
Pharmacist
7955 TUCKERMAN LN
POTOMAC, MD 20854

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 Jannie Kim's NPI number?

The NPI number for Jannie Kim is 1417670290. It was assigned to this individual provider in the NPPES registry on September 26, 2022. The provider is also known as Jannie Rene Suratos.

Where is Jannie Kim located?

Jannie Kim practices at 7955 Tuckerman Ln, Rockville, MD 20854. The listed phone number is (866) 389-2727.

What is Jannie Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jannie Kim enrolled in Medicare?

Yes. Jannie 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.

When was this NPI record last updated?

The NPPES record for Jannie Kim was last updated on October 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.