JISUNG KIM CRNA
NPI 1508811852
Nurse Anesthetist, Certified Registered in Falls Church, VA

Active since May 24, 2006Accepts Medicare Assignment
74.1/100
CMS Quality Rating
3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-3138 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jisung Kim Crna NPPES

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

JISUNG KIM CRNA (NPI 1508811852) is an individual nurse anesthetist, certified registered in Falls Church, Virginia, licensed in Virginia (0024166745) and active in the NPI registry since May 2006. She is affiliated with Inova Loudoun Hospital and is a graduate of Other (2002).

NPPES Registry Identity

NPI1508811852
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJISUNG KIMCredential: CRNA
Location Address3300 GALLOWS RDFalls Church, VA 22042-3307
Mailing Address3100 Spring Forest Rd, Suite 130Raleigh, NC 27616-2880 · (919) 882-0705 · Fax (919) 873-9821
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 24, 2006
Last NPPES UpdateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
NPI 1508811852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in VA · 0024166745
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

3300 GALLOWS RD, Falls Church, VA 22042

Other Identifiers 2

OtherG3185FL · Bcbs
Medicaid304915900FL

Accepted Insurance

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

Jisung Kim Crna 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 ID3971609678
PECOS Enrollment IDI20070425000664, I20200819003032

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22042 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.63
Improvement Activities40
Cost40.03

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.

Pathology (Clinical Pathology/Laboratory Medicine)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pathology (Anatomic Pathology & Clinical Pathology)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pathology (Anatomic Pathology)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pathology (Anatomic Pathology & Clinical Pathology)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pathology (Anatomic Pathology & Clinical Pathology)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pathology (Anatomic Pathology & Clinical Pathology)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pathology (Anatomic Pathology & Clinical Pathology)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pathology (Blood Banking & Transfusion Medicine)
3300 GALLOWS RD
FALLS CHURCH, VA 22042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508811852, enumerated as an "individual" on May 24, 2006.

The provider is located at 3300 GALLOWS RD FALLS CHURCH, VA 22042 and the phone number is (703) 776-3138.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Oscar Insurance Company, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.

Jisung Kim is affiliated with: INOVA LOUDOUN HOSPITAL and INOVA FAIR OAKS HOSPITAL.