EUNYOUNG L KIM FNP
NPI 1699441014
Nurse Practitioner - Family in Santa Rosa, CA
About Eunyoung L Kim Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EUNYOUNG L KIM FNP (NPI 1699441014) is an individual family provider in Santa Rosa, California, licensed in California (95018092) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Eunyoung L Kim Fnp 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 Reassignment
Medicare enrollment records show Eunyoung Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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 95403 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.
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
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 Eunyoung Kim's NPI number?
The NPI number for Eunyoung Kim is 1699441014. It was assigned to this individual provider in the NPPES registry on August 17, 2021.
Where is Eunyoung Kim located?
Eunyoung Kim practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 393-4774.
What is Eunyoung Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Eunyoung Kim enrolled in Medicare?
Yes. Eunyoung 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 organization bills Medicare for Eunyoung Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eunyoung Kim reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Eunyoung 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 Eunyoung Kim was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Eunyoung L Kim, FNP · NPI 1699441014
Family physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since August 17, 2021.
## Identity
- **NPI:** 1699441014 (Entity type: Individual)
- **Enumerated:** August 17, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95018092 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 BICENTENNIAL WAY, Santa Rosa, CA 95403-2149
- **Phone:** (707) 393-4774
## 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:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1699441014) · Data from the CMS NPPES public registry.