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CHAERYUNG KIM AGPCNP-BC
NPI 1750974259
Nurse Practitioner - Adult Health in New York, NY

Active since February 16, 2021PECOS Enrolled
91 WORTH ST, NEW YORK, NY 10013(805) 307-8869 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 1, 2023, Jul 30, 2021, Feb 16, 2021 (3 updates tracked since 2021).

About Chaeryung Kim Agpcnp-bc NPPES

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

CHAERYUNG KIM AGPCNP-BC (NPI 1750974259) is an individual adult health provider in New York, New York, licensed in New York (309900) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750974259
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCHAERYUNG KIMCredential: AGPCNP-BC
Location Address91 WORTH STNew York, NY 10013-3411
Mailing Address91 Worth StNew York, NY 10013-3411
Phone(805) 307-8869
Sole ProprietorNo
Enumeration DateFebruary 16, 2021
Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1750974259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 309900
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 730895 (NY)
91 WORTH ST, New York, NY 10013
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chaeryung Kim Agpcnp-bc 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 Reassignment

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

Kings Physician Services, PC
3.6 mi
Diagnostic Radiology
506 6TH STREET
Brooklyn, NY 11215
  • Reassigned Medicare billing, New York enrollment
  • 1,029 clinicians in this Medicare group
NPI 1083045090 (718) 780-5051

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 10013 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

SHERIN PANAYIL RN
Registered Nurse
91 WORTH ST
NEW YORK, NY 10013
New York County (805) 491-9265

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 Chaeryung Kim's NPI number?

The NPI number for Chaeryung Kim is 1750974259. It was assigned to this individual provider in the NPPES registry on February 16, 2021.

Where is Chaeryung Kim located?

Chaeryung Kim practices at 91 Worth St, New York, NY 10013. The listed phone number is (805) 307-8869.

What is Chaeryung Kim's specialty?

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

Is Chaeryung Kim enrolled in Medicare?

Yes. Chaeryung Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chaeryung Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chaeryung Kim reassigns Medicare benefits to Kings Physician Services, PC (Brooklyn, NY). 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 Chaeryung 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 Chaeryung Kim was last updated on November 1, 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.