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KORTREZ KING NP
NPI 1639879703
Nurse Practitioner - Family in Long Beach, CA

Active since March 07, 2023PECOS Enrolled
200 OCEANGATE STE 100, LONG BEACH, CA 90802(888) 562-5442 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2025, Mar 7, 2023 (2 updates tracked since 2023).

About Kortrez King Np NPPES

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

KORTREZ KING NP (NPI 1639879703) is an individual family provider in Long Beach, California, licensed in Michigan (4704319078) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Norton Shores, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639879703
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKORTREZ KINGCredential: NP
Location Address200 OCEANGATE STE 100Long Beach, CA 90802-4317
Mailing Address876 Seminole RdNorton Shores, MI 49441-4340 · (231) 903-2044
Phone(888) 562-5442
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 7, 2023
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1639879703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MI · 4704319078✔ Licensed in MI · 4704319078NSA2304W
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704319078 (MI)
200 OCEANGATE STE 100, Long Beach, CA 90802
Open in Google Maps ↗

Secondary Practice Location 1

Location 1876 Seminole RdNorton Shores, MI 49441-4340 · Phone (231) 903-2044

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kortrez King Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911428446
PECOS Enrollment IDI20260430003406
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.

Medicare Billing Reassignment

Medicare enrollment records show Kortrez King reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Molina Care Connections, LLC.
Same address
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Kentucky, Michigan and Texas enrollments
  • 92 clinicians in this Medicare group
NPI 1407243223 (888) 562-5442

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 90802 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

MOLINA MEDICAL GROUP OF NEW MEXICO, PC
Family Medicine
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (562) 499-6191
DARLENA THACH FNP-C
Nurse Practitioner (Family)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (888) 562-5442
JOANNA DURON FNP
Nurse Practitioner (Family)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (760) 718-5648
JENNIFER M DONALDSON
Nurse Practitioner (Family)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (888) 562-5442
MELISSA STEWART LCSW
Social Worker (Clinical)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (860) 255-4640
DAISY O ALVARADO FNP-C, RN, PHN, CBN
Nurse Practitioner (Family)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (951) 660-6224
MRS. CHARLYNE GABRIEL-JACQUES ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (305) 382-4161
ALYSSA AREEPRACHAPIROM
Nurse Practitioner (Psychiatric/Mental Health)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (888) 562-5442

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 Kortrez King's NPI number?

The NPI number for Kortrez King is 1639879703. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Kortrez King located?

Kortrez King practices at 200 Oceangate Ste 100, Long Beach, CA 90802. The listed phone number is (888) 562-5442.

What is Kortrez King's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kortrez King enrolled in Medicare?

Yes. Kortrez King is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kortrez King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kortrez King reassigns Medicare benefits to Molina Care Connections, LLC. (Long Beach, CA). 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 Kortrez King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kortrez King accept?

Health plans from Molina Healthcare list Kortrez King 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 Kortrez King was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.