DIANA LEE KIM FNP-C
NPI 1427513035
Nurse Practitioner - Family in Las Vegas, NV

Active since February 07, 2019PECOS EnrolledAccepts Medicare Assignment
9010 W CHEYENNE AVE, LAS VEGAS, NV 89129(702) 240-8646(702) 932-8347 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2021, Jun 16, 2021, Feb 7, 2019 (3 updates tracked since 2019).

About Diana Lee Kim Fnp-c NPPES

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

DIANA LEE KIM FNP-C (NPI 1427513035) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (818252) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1427513035
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANA LEE KIMCredential: FNP-C
Location Address9010 W CHEYENNE AVELas Vegas, NV 89129-8932
Mailing Address9010 W Cheyenne AveLas Vegas, NV 89129-8932 · (702) 240-8646 · Fax (702) 932-8347
Fax(702) 932-8347
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 7, 2019
Last NPPES UpdateOctober 11, 20213 updates tracked since enumeration
NPPES CertifiedOctober 11, 2021
NPI 1427513035 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 NV · 818252
9010 W CHEYENNE AVE, Las Vegas, NV 89129

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

Diana Lee Kim Fnp-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 ID7517290182
PECOS Enrollment IDI20190613001453
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 2

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.
51 services34 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.
42 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89129 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Family Medicine
9010 W CHEYENNE AVE
LAS VEGAS, NV 89129
Physician Assistant (Medical)
9010 W CHEYENNE AVE
LAS VEGAS, NV 89129
Physician Assistant
9010 W CHEYENNE AVE
LAS VEGAS, NV 89129
Nurse Practitioner (Family)
9010 W CHEYENNE AVE
LAS VEGAS, NV 89129
Nurse Practitioner (Family)
9010 W CHEYENNE AVE
LAS VEGAS, NV 89129
Nurse Practitioner
9010 W CHEYENNE AVE
LAS VEGAS, NV 89129
Nurse Practitioner (Family)
9010 W CHEYENNE AVE
LAS VEGAS, NV 89129
Family Medicine (Sports Medicine)
9010 W CHEYENNE AVE
LAS VEGAS, NV 89129

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 Diana Kim's NPI number?

The NPI number for Diana Kim is 1427513035. It was assigned to this individual provider in the NPPES registry on February 7, 2019.

Where is Diana Kim located?

Diana Kim practices at 9010 W Cheyenne Ave, Las Vegas, NV 89129. The listed phone number is (702) 240-8646.

What is Diana Kim's specialty?

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

Is Diana Kim enrolled in Medicare?

Yes. Diana 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 Diana Kim was last updated on October 11, 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.