KELLY ANNE KIM PNP-AC
NPI 1558845487
Nurse Practitioner - Pediatrics, Critical Care in San Francisco, CA
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Anne Kim Pnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kelly Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 761 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 1,159 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 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.
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.
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 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.
Where is Kelly Kim located?
Kelly Kim practices at 1975 4th St, San Francisco, CA 94143. The listed phone number is (925) 324-5137.
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.
Is Kelly Kim enrolled in Medicare?
Yes. Kelly Kim is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelly Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kim reassigns Medicare benefits to 4 organizations: University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA), Ucsf Dept Of Surgery (San Francisco, CA) and Ucsf Pediatrics Associates (San Francisco, CA). Each 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 Kelly Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 8 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.
# Kelly Anne Kim, PNP-AC · NPI 1558845487
Pediatrics, Critical Care physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since September 17, 2018.
## Identity
- **NPI:** 1558845487 (Entity type: Individual)
- **Enumerated:** September 17, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** 95009982 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1975 4TH ST, San Francisco, CA 94143-2351
- **Phone:** (925) 324-5137
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA); Ucsf Dept Of Surgery (NPI 1477627537, San Francisco, CA); Ucsf Pediatrics Associates (NPI 1376614016, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1558845487) · Data from the CMS NPPES public registry.