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YUN MI KIM
NPI 1750938288
Nurse Practitioner - Psychiatric/Mental Health in Springfield, PA

Active since August 20, 2019PECOS Enrolled
1001 BALTIMORE PIKE STE 9B, SPRINGFIELD, PA 19064(267) 368-6953 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 29, 2023, Apr 17, 2020, Feb 12, 2020 and 3 more (6 updates tracked since 2019).

About Yun Mi Kim NPPES

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

YUN MI KIM (NPI 1750938288) is an individual psychiatric/mental health provider in Springfield, Pennsylvania, licensed in Pennsylvania (SP020858) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1750938288
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameYUN MI KIM
Location Address1001 BALTIMORE PIKE STE 9BSpringfield, PA 19064-2862
Mailing Address257 W Cayuga StPhiladelphia, PA 19140-2439 · (267) 368-6953
Phone(267) 368-6953
Sole ProprietorNo
Enumeration DateAugust 20, 2019
Last NPPES UpdateMarch 29, 20236 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
✔ NPI 1750938288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP020858
1001 BALTIMORE PIKE STE 9B, Springfield, PA 19064
Open in Google Maps ↗

Secondary Practice Location 1

Location 1257 W Cayuga StPhiladelphia, PA 19140-2439 · Phone (267) 368-6953

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yun Mi Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Yun Mi Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Cayuga Medicine PC
13 mi
Internal Medicine
257 W CAYUGA ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 clinicians in this Medicare group
NPI 1811449697 (267) 368-6953
Vital Healthcare Solutions
46 mi
Psychiatry
300 WINDMILL RD
Sinking Springs, PA 19608
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 166 clinicians in this Medicare group
NPI 1659736957 (814) 505-7060

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 19064 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA O'DRISCOLL
Nurse Practitioner (Psychiatric/Mental Health)
1001 BALTIMORE PIKE STE 9B
SPRINGFIELD, PA 19064
Delaware County (267) 368-6953

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 Yun Mi Kim's NPI number?

The NPI number for Yun Mi Kim is 1750938288. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Yun Mi Kim located?

Yun Mi Kim practices at 1001 Baltimore Pike Ste 9B, Springfield, PA 19064. The listed phone number is (267) 368-6953.

What is Yun Mi Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Yun Mi Kim enrolled in Medicare?

Yes. Yun Mi Kim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Yun Mi Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yun Mi Kim reassigns Medicare benefits to 2 organizations: West Cayuga Medicine PC (Philadelphia, PA) and Vital Healthcare Solutions (Sinking Springs, PA). 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 Yun Mi 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 Yun Mi Kim was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.