CHRISSELLE KIM AGNP-C
NPI 1477336998
Nurse Practitioner - Gerontology in Englewood, NJ
About Chrisselle Kim Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISSELLE KIM AGNP-C (NPI 1477336998) is an individual gerontology provider in Englewood, New Jersey, licensed in New Jersey (26NJ14901100) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Chrisselle Kim Agnp-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.
Medicare Billing Reassignments
3Medicare enrollment records show Chrisselle Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Englewood, NJ 07631
- Reassigned Medicare billing, New Jersey enrollment
- 849 clinicians in this Medicare group
Jersey City, NJ 07306
- Reassigned Medicare billing, New Jersey enrollment
- 121 clinicians in this Medicare group
South Plainfield, NJ 07080
- Reassigned Medicare billing, New Jersey enrollment
- 5 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Englewood Hospital And Medical Center
Acute Care Hospitals · Englewood, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Chrisselle Kim's NPI number?
The NPI number for Chrisselle Kim is 1477336998. It was assigned to this individual provider in the NPPES registry on August 17, 2023.
Where is Chrisselle Kim located?
Chrisselle Kim practices at 350 Engle St Fl 6, Englewood, NJ 07631. The listed phone number is (201) 568-5250.
What is Chrisselle Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Chrisselle Kim enrolled in Medicare?
Yes. Chrisselle 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.
Which organizations bill Medicare for Chrisselle Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chrisselle Kim reassigns Medicare benefits to 3 organizations: Medical Associates Of Englewood, PC (Englewood, NJ), Physician Partners Of Englewood, PC (Jersey City, NJ) and Bct Medical Associates.LLC (South Plainfield, NJ). 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 Chrisselle Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chrisselle Kim accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Chrisselle Kim 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 Chrisselle Kim affiliated with any hospitals?
According to CMS data, Chrisselle Kim is affiliated with Englewood Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for Chrisselle Kim was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Chrisselle Kim, AGNP-C · NPI 1477336998
Gerontology physician in Englewood, New Jersey. Individual provider, active in the CMS NPPES registry since August 17, 2023.
## Identity
- **NPI:** 1477336998 (Entity type: Individual)
- **Enumerated:** August 17, 2023
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 26NJ14901100 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 350 ENGLE ST FL 6, Englewood, NJ 07631-1808
- **Phone:** (201) 568-5250
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Medical Associates Of Englewood, PC (NPI 1952681918, Englewood, NJ); Physician Partners Of Englewood, PC (NPI 1154671501, Jersey City, NJ); Bct Medical Associates.LLC (NPI 1184036717, South Plainfield, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 23, 2024
- **Other identifiers:** Medicaid 0981729 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1477336998) · Data from the CMS NPPES public registry.