Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PATRICIA K IM
NPI 1528655412
Nurse Practitioner - Primary Care in Las Vegas, NV

Active since December 25, 2020PECOS Enrolled
8565 S EASTERN AVE STE 192, LAS VEGAS, NV 89123(725) 232-1366(702) 478-2475 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2026, Jan 19, 2026, Nov 6, 2025 and 3 more (6 updates tracked since 2020).

About Patricia K Im NPPES

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

PATRICIA K IM (NPI 1528655412) is an individual primary care provider in Las Vegas, Nevada, licensed in Nevada (836208) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528655412
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NamePATRICIA K IM
Location Address8565 S EASTERN AVE STE 192Las Vegas, NV 89123-2907
Mailing Address8565 S Eastern Ave Ste 192Las Vegas, NV 89123-2907 · (725) 232-1366 · Fax (702) 478-2475
Fax(702) 478-2475
Sole ProprietorYes
Enumeration DateDecember 25, 2020
Last NPPES UpdateAugust 14, 20266 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
NPI 1528655412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NV · 836208
Also ListedNurse PractitionerTaxonomy 363L00000X · License 836208 (NV)
8565 S EASTERN AVE STE 192, Las Vegas, NV 89123

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 (PECOS)

Patricia K Im 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89123 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier17 claims34 services$56.37 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier16 claims96 services$25.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
8565 S EASTERN AVE STE 192
LAS VEGAS, NV 89123

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 Patricia Im's NPI number?

The NPI number for Patricia Im is 1528655412. It was assigned to this individual provider in the NPPES registry on December 25, 2020.

Where is Patricia Im located?

Patricia Im practices at 8565 S Eastern Ave Ste 192, Las Vegas, NV 89123. The listed phone number is (725) 232-1366.

What is Patricia Im's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Patricia Im enrolled in Medicare?

Yes. Patricia Im is registered in the Medicare PECOS enrollment system.

What insurance does Patricia Im accept?

Health plans from Ambetter from Arizona Complete Health list Patricia Im 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.

When was this NPI record last updated?

The NPPES record for Patricia Im was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.