IRIS KIM NP
NPI 1760116719
Nurse Practitioner in Long Island City, NY

Q: What is Iris Kim's NPI number?

The NPI number for Iris Kim is 1760116719. It was assigned to this individual provider in the NPPES registry on July 14, 2022.

Q: What is Iris Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Iris Kim was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 14, 2022PECOS Enrolled

2141 45TH RD, LONG ISLAND CITY, NY 11101(212) 965-7000 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2022, Sep 6, 2022, Jul 14, 2022 (3 updates tracked since 2022).

On this page

About Iris Kim Np NPPES

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

IRIS KIM NP (NPI 1760116719) is an individual nurse practitioner in Long Island City, New York, licensed in New York (432898) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1760116719

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameIRIS KIMCredential: NP

Location Address2141 45TH RDLong Island City, NY 11101-4706

Mailing Address2141 45th RdLong Island City, NY 11101-4706 · (212) 965-7000

Phone(212) 965-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 14, 2022

Last NPPES UpdateFebruary 25, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2026

✔ NPI 1760116719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in NY · 432898✔ Licensed in MA · RN2348092

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2141 45TH RD, Long Island City, NY 11101

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID446699912

PECOS Enrollment IDI20240416003974

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11101 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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 5

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

MS. ERICA DAWN SEPPALA RN, BSN, MPH, MA

Registered Nurse (Women's Health Care, Ambulatory)