JAI EUN KIM APRN
NPI 1609671486
Nurse Practitioner - Psychiatric/Mental Health in West Columbia, SC
About Jai Eun Kim Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAI EUN KIM APRN (NPI 1609671486) is an individual psychiatric/mental health provider in West Columbia, South Carolina, licensed in South Carolina (30777) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jai Eun Kim Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jai Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Columbia, SC 29169
- Reassigned Medicare billing, South Carolina enrollment
- 7 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 29169 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
WEST COLUMBIA, SC 29169
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 Jai Kim's NPI number?
The NPI number for Jai Kim is 1609671486. It was assigned to this individual provider in the NPPES registry on February 17, 2025.
Where is Jai Kim located?
Jai Kim practices at 103 Sum Mor Dr, West Columbia, SC 29169. The listed phone number is (803) 254-4699.
What is Jai Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jai Kim enrolled in Medicare?
Yes. Jai Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jai Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jai Kim reassigns Medicare benefits to Pivotal Injury And Rehab Inc (West Columbia, SC). 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 Jai Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jai Kim accept?
Health plans from UnitedHealthcare list Jai 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 Jai Kim was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jai Eun Kim, APRN · NPI 1609671486
Psychiatric/Mental Health physician in West Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since February 17, 2025.
## Identity
- **NPI:** 1609671486 (Entity type: Individual)
- **Enumerated:** February 17, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 30777 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 103 SUM MOR DR, West Columbia, SC 29169-4828
- **Phone:** (803) 254-4699
## 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:** Pivotal Injury And Rehab Inc (NPI 1386150613, West Columbia, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Carolina School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** October 2, 2026
- **Other identifiers:** Other 16628832
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Source: [NPI Profile](https://npiprofile.com/npi/1609671486) · Data from the CMS NPPES public registry.