JEONG KIM NP
NPI 1750768107
Nurse Practitioner - Adult Health in Fort Worth, TX

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 250-4906(817) 250-1815 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeong Kim Np NPPES

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

JEONG KIM NP (NPI 1750768107) is an individual adult health provider in Fort Worth, Texas, licensed in Texas (AP127743) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1750768107
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJEONG KIMCredential: NP
Location Address1301 PENNSYLVANIA AVEFort Worth, TX 76104-2122
Mailing Address1301 Pennsylvania AveFort Worth, TX 76104-2122 · (817) 250-4906 · Fax (817) 250-1815
Fax(817) 250-1815
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 5, 2015
Last NPPES UpdateApril 2, 2019
NPI 1750768107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in TX · AP127743
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP127743 (TX)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP127743 (TX)
1301 PENNSYLVANIA AVE, Fort Worth, TX 76104

Accepted Insurance

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

Jeong 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.

PECOS PAC ID4587904636
PECOS Enrollment IDI20190327002299
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.

Areas of Expertise CMS Part B claims 7

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
196 services145 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
153 services95 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
121 services116 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
120 services116 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
88 services71 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
24 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

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.

Pediatrics
1301 PENNSYLVANIA AVE, DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX 76104
Internal Medicine
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Registered Nurse (Neonatal Intensive Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal, Critical Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Psychiatric/Mental Health)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104

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 Jeong Kim's NPI number?

The NPI number for Jeong Kim is 1750768107. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Where is Jeong Kim located?

Jeong Kim practices at 1301 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 250-4906.

What is Jeong Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jeong Kim enrolled in Medicare?

Yes. Jeong 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.

What insurance does Jeong Kim accept?

Health plans from Blue Cross and Blue Shield of Texas list Jeong 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.

Is Jeong Kim affiliated with any hospitals?

According to CMS data, Jeong Kim is affiliated with Texas Health Harris Methodist Hospital Fort Worth.

When was this NPI record last updated?

The NPPES record for Jeong Kim was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.