WOONI F KIM PMHNP
NPI 1477243756
Nurse Practitioner - Psychiatric/Mental Health in Fairfax, VA

Active since May 10, 2023PECOS Enrolled
10721 MAIN ST STE 2400, FAIRFAX, VA 22030(571) 977-6870 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2025, Jun 13, 2023, May 20, 2023 and 1 more (4 updates tracked since 2023).

About Wooni F Kim Pmhnp NPPES

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

WOONI F KIM PMHNP (NPI 1477243756) is an individual psychiatric/mental health provider in Fairfax, Virginia, licensed in Virginia (0024187063) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Falls Church, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1477243756
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameWOONI F KIMCredential: PMHNP
Location Address10721 MAIN ST STE 2400Fairfax, VA 22030-6902
Mailing Address6565 Arlington Blvd Ste 405Falls Church, VA 22042-3013 · (571) 946-2189
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 10, 2023
Last NPPES UpdateMay 8, 20254 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
NPI 1477243756 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 VA · 0024187063
10721 MAIN ST STE 2400, Fairfax, VA 22030

Secondary Practice Location 1

Location 16565 Arlington Blvd Ste 405Falls Church, VA 22042-3013 · Phone (571) 946-2189

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Wooni F Kim Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769911981
PECOS Enrollment IDI20250131002942, I20250328000066
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 22030 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 16

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

Counselor
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Social Worker
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Social Worker (Clinical)
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Counselor (Professional)
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Counselor (Mental Health)
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Counselor (Professional)
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Nurse Practitioner (Psychiatric/Mental Health)
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Social Worker
10721 MAIN ST STE 2400
FAIRFAX, VA 22030

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 Wooni Kim's NPI number?

The NPI number for Wooni Kim is 1477243756. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Wooni Kim located?

Wooni Kim practices at 10721 Main St Ste 2400, Fairfax, VA 22030. The listed phone number is (571) 977-6870.

What is Wooni Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Wooni Kim enrolled in Medicare?

Yes. Wooni Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wooni Kim was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.