JU WON KIM
NPI 1699561159
Nurse Practitioner - Family in Essex, CT
About Ju Won Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JU WON KIM (NPI 1699561159) is an individual family provider in Essex, Connecticut, licensed in Connecticut (15136) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ju Won Kim 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06426 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 6
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 Ju Won Kim's NPI number?
The NPI number for Ju Won Kim is 1699561159. It was assigned to this individual provider in the NPPES registry on April 18, 2025.
Where is Ju Won Kim located?
Ju Won Kim practices at 10 Wildwood Medical Ctr, Essex, CT 06426. The listed phone number is (860) 767-0145.
What is Ju Won Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ju Won Kim enrolled in Medicare?
Yes. Ju Won 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.
When was this NPI record last updated?
The NPPES record for Ju Won Kim was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ju Won Kim · NPI 1699561159
Family physician in Essex, Connecticut. Individual provider, active in the CMS NPPES registry since April 18, 2025.
## Identity
- **NPI:** 1699561159 (Entity type: Individual)
- **Enumerated:** April 18, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 15136 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 10 WILDWOOD MEDICAL CTR, Essex, CT 06426-1154
- **Phone:** (860) 767-0145
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1699561159) · Data from the CMS NPPES public registry.