JEE YOON KIM ANP
NPI 1558697565
Nurse Practitioner - Adult Health in Orange, CT
About Jee Yoon Kim Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEE YOON KIM ANP (NPI 1558697565) is an individual adult health provider in Orange, Connecticut, licensed in Connecticut (10549) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
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
Jee Yoon Kim Anp 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 Reassignment
Medicare enrollment records show Jee Yoon Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Haven, CT 06519
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06477 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jee Yoon Kim's NPI number?
The NPI number for Jee Yoon Kim is 1558697565. It was assigned to this individual provider in the NPPES registry on October 26, 2009.
Where is Jee Yoon Kim located?
Jee Yoon Kim practices at 240 Indian River Rd. Building A Suite 1A, Orange, CT 06477. The listed phone number is (203) 795-1664.
What is Jee Yoon Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Jee Yoon Kim enrolled in Medicare?
Yes. Jee Yoon 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 organization bills Medicare for Jee Yoon Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jee Yoon Kim reassigns Medicare benefits to Yale University (New Haven, CT). The 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 Jee Yoon Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jee Yoon Kim accept?
Health plans from Anthem Blue Cross and Blue Shield list Jee Yoon 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.
When was this NPI record last updated?
The NPPES record for Jee Yoon Kim was last updated on January 19, 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.
# Jee Yoon Kim, ANP · NPI 1558697565
Adult Health physician in Orange, Connecticut. Individual provider, active in the CMS NPPES registry since October 26, 2009.
## Identity
- **NPI:** 1558697565 (Entity type: Individual)
- **Enumerated:** October 26, 2009
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 10549 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 240 INDIAN RIVER RD., BUILDING A SUITE 1A, Orange, CT 06477
- **Phone:** (203) 795-1664
## 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:** Yale University (NPI 1124148887, New Haven, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** January 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558697565) · Data from the CMS NPPES public registry.