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HYOSUN KIM NP
NPI 1477906709
Nurse Practitioner - Family in Flushing, NY

Active since July 21, 2016PECOS Enrolled
3374 191ST ST, FLUSHING, NY 11358(646) 387-3419 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2018, Aug 29, 2018 (2 updates tracked since 2018).

About Hyosun Kim Np NPPES

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

HYOSUN KIM NP (NPI 1477906709) is an individual family provider in Flushing, New York, licensed in New York (F3417371) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477906709
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHYOSUN KIMCredential: NP
Location Address3374 191ST STFlushing, NY 11358-1940
Mailing Address8701 56th Ave, Fl 1Elmhurst, NY 11373-4831 · (718) 457-0002 · Fax (718) 457-9108
Phone(646) 387-3419
Sole ProprietorNo
Enumeration DateJuly 21, 2016
Last NPPES UpdateSeptember 19, 20182 updates tracked since enumeration
✔ NPI 1477906709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F3417371
Also ListedRegistered NurseTaxonomy 163W00000X · License 7074021 (NY)
3374 191ST ST, Flushing, NY 11358
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hyosun Kim Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Hyosun Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dr Ww Dermatology PLLC
5.0 mi
Specialist
8516 QUEENS BLVD FL 1
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1477891901 (718) 457-0002
Bobby Buka, M.D., P.C.
12 mi
Dermatology
220 FRONT ST
New York, NY 10038
  • Reassigned Medicare billing, New York enrollment
  • 71 clinicians in this Medicare group
NPI 1134349954 (212) 385-3700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11358 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Hyosun Kim's NPI number?

The NPI number for Hyosun Kim is 1477906709. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Where is Hyosun Kim located?

Hyosun Kim practices at 3374 191st St, Flushing, NY 11358. The listed phone number is (646) 387-3419.

What is Hyosun Kim's specialty?

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

Is Hyosun Kim enrolled in Medicare?

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

Which organizations bill Medicare for Hyosun Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hyosun Kim reassigns Medicare benefits to 2 organizations: Dr Ww Dermatology PLLC (Elmhurst, NY) and Bobby Buka, M.D., P.C. (New York, NY). 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 Hyosun Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hyosun Kim was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.