ELLIE KIM NP
NPI 1619695608
Nurse Practitioner in Stanford, CA
About Ellie Kim Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLIE KIM NP (NPI 1619695608) is an individual nurse practitioner in Stanford, California, licensed in California (95030628) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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
Ellie Kim Np 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 Reassignments
10Medicare enrollment records show Ellie Kim reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 259 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 74 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 452 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 23 clinicians in this Medicare group
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 315 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 191 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 132 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 514 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94305 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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Ellie Kim's NPI number?
The NPI number for Ellie Kim is 1619695608. It was assigned to this individual provider in the NPPES registry on August 16, 2022.
Where is Ellie Kim located?
Ellie Kim practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.
What is Ellie Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Ellie Kim enrolled in Medicare?
Yes. Ellie 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 organizations bill Medicare for Ellie Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellie Kim reassigns Medicare benefits to 10 organizations: Stanford Health Care (Stanford, CA), Lpch Medical Group Div Of Lucile (Palo Alto, CA), Memorial Developmental Chemo Group (New York, NY), Memorial Urgent Care Group (New York, NY), Mskcc Surgery Group (New York, NY) and 5 more organizations, listed in the Medicare section above. 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 Ellie 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 Ellie Kim was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ellie Kim, NP · NPI 1619695608
Nurse Practitioner physician in Stanford, California. Individual provider, active in the CMS NPPES registry since August 16, 2022.
## Identity
- **NPI:** 1619695608 (Entity type: Individual)
- **Enumerated:** August 16, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95030628 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2200
- **Phone:** (650) 723-4000
## 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:** 10 organizations under Medicare reassignment (form CMS-855R): Stanford Health Care (NPI 1437292927, Stanford, CA); Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA); Memorial Developmental Chemo Group (NPI 1912978487, New York, NY); Memorial Urgent Care Group (NPI 1053364539, New York, NY); Mskcc Surgery Group (NPI 1699766261, New York, NY); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619695608) · Data from the CMS NPPES public registry.