DAE YEON KIM FNP-C
NPI 1437945912
Nurse Practitioner - Family in San Bernardino, CA

Q: What is Dae Kim's NPI number?

The NPI number for Dae Kim is 1437945912. It was assigned to this individual provider in the NPPES registry on April 19, 2025.

Q: What is Dae Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dae Kim was last updated on April 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 19, 2025PECOS EnrolledAccepts Medicare Assignment

1998 N ARROWHEAD AVE, SAN BERNARDINO, CA 92405(909) 882-0988(909) 660-8515 Get Directions Write a Review

NPPES record last updated: April 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dae Yeon Kim Fnp-c NPPES

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

DAE YEON KIM FNP-C (NPI 1437945912) is an individual family provider in San Bernardino, California, licensed in California (95032711) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1437945912

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDAE YEON KIMCredential: FNP-C

Location Address1998 N ARROWHEAD AVESan Bernardino, CA 92405-4116

Mailing Address1998 N Arrowhead AveSan Bernardino, CA 92405-4116 · (909) 882-0988 · Fax (909) 660-8515

Phone(909) 882-0988

Fax(909) 660-8515

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 19, 2025

NPPES CertifiedApril 11, 2025

✔ NPI 1437945912 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 CA · 95032711

1998 N ARROWHEAD AVE, San Bernardino, CA 92405

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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

Dae Yeon 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 ID9234625484

PECOS Enrollment IDI20251226001565

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 92405 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

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Other Providers at the Same Location NPPES 14

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

MRS. JOCELYN ELLEN SEITZ-KEOUGH FNP

Nurse Practitioner (Family)