KIBBUM KANG NURSE PRACTITIONER
NPI 1548502347
Nurse Practitioner - Adult Health in Manassas, VA

Q: What is Kibbum Kang's NPI number?

The NPI number for Kibbum Kang is 1548502347. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Q: What is Kibbum Kang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kibbum Kang was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 20, 2013PECOS EnrolledAccepts Medicare Assignment

73.68/100

CMS Quality Rating

8640 SUDLEY RD STE 201, MANASSAS, VA 20110(703) 368-6819(703) 330-2923 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2025, Jan 7, 2020, Sep 10, 2018 (3 updates tracked since 2018).

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About Kibbum Kang Nurse Practitioner NPPES

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

KIBBUM KANG NURSE PRACTITIONER (NPI 1548502347) is an individual adult health provider in Manassas, Virginia, licensed in Virginia (0024174551) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1548502347

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKIBBUM KANGCredential: NURSE PRACTITIONER

Location Address8640 SUDLEY RD STE 201Manassas, VA 20110-4404

Mailing AddressPo Box 381468Germantown, TN 38183-1468

Phone(703) 368-6819

Fax(703) 330-2923

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 20, 2013

Last NPPES UpdateFebruary 13, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2026

✔ NPI 1548502347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in VA · 0024174551

Also ListedNurse PractitionerTaxonomy 363L00000X · License 0024174551 (VA)

8640 SUDLEY RD STE 201, Manassas, VA 20110

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Other Identifiers 1

Medicaid1548502347VA

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

Kibbum Kang Nurse Practitioner 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 ID7113147604

PECOS Enrollment IDI20181114001685

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

197 services165 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

113 services113 patients

Hospital Affiliations CMS Care Compare 5

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number490009

Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County

Emergency services Birthing friendly

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490019

Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County

Emergency services Birthing friendly

Fauquier Hospital

Acute Care Hospitals · Warrenton, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490023

Location500 Hospital DriveWarrenton, VA 20186 · Fauquier County

Emergency services Birthing friendly

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490045

Location8700 Sudley RdManassas, VA 20110 · Manassas City County

Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490144

Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20110 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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.

73.68/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.92

Promoting Interoperability

100

Improvement Activities

Cost

44.36

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.

JACQUELINE RAMIREZ PA-C

Physician Assistant