KELLY ANNE KIM PNP-AC
NPI 1558845487
Nurse Practitioner - Pediatrics, Critical Care in San Francisco, CA

Q: What is Kelly Kim's NPI number?

The NPI number for Kelly Kim is 1558845487. It was assigned to this individual provider in the NPPES registry on September 17, 2018. The provider is also known as Kelly Anne Hoy.

Q: What is Kelly Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Kim was last updated on September 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 17, 2018PECOS Enrolled

1975 4TH ST, SAN FRANCISCO, CA 94143(925) 324-5137 Get Directions Write a Review

NPPES record last updated: September 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Anne Kim Pnp-ac NPPES

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

KELLY ANNE KIM PNP-AC (NPI 1558845487) is an individual pediatrics, critical care provider in San Francisco, California, licensed in California (95009982) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558845487

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameKELLY ANNE KIMCredential: PNP-AC

Location Address1975 4TH STSan Francisco, CA 94143-2351

Mailing Address3701 West RdLafayette, CA 94549-3704 · (925) 324-5137

Phone(925) 324-5137

Sole ProprietorNo

Enumeration DateSeptember 17, 2018

✔ NPI 1558845487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in CA · 95009982

1975 4TH ST, San Francisco, CA 94143

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Other Names 1

Former Name (1)Kelly Anne Hoy

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Anne Kim Pnp-ac 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 94143 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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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.

DR. ABBEY CORIN LEA DPT

Physical Therapist