ALICE KISUN KIM PMHNP
NPI 1770362998
Nurse Practitioner - Psychiatric/Mental Health in Fullerton, CA
About Alice Kisun Kim Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICE KISUN KIM PMHNP (NPI 1770362998) is an individual psychiatric/mental health provider in Fullerton, California, licensed in California (95027340) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Alice Kisun Kim Pmhnp 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 92833 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Alice Kim's NPI number?
The NPI number for Alice Kim is 1770362998. It was assigned to this individual provider in the NPPES registry on September 26, 2023.
Where is Alice Kim located?
Alice Kim practices at 2558 Tiffany Pl, Fullerton, CA 92833. The listed phone number is (213) 200-3500.
What is Alice Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Alice Kim enrolled in Medicare?
Yes. Alice 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 Alice Kim accept?
Health plans from Providence Health Plan list Alice 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.
When was this NPI record last updated?
The NPPES record for Alice Kim was last updated on September 26, 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.
# Alice Kisun Kim, PMHNP · NPI 1770362998
Psychiatric/Mental Health physician in Fullerton, California. Individual provider, active in the CMS NPPES registry since September 26, 2023.
## Identity
- **NPI:** 1770362998 (Entity type: Individual)
- **Enumerated:** September 26, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95027340 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2558 TIFFANY PL, Fullerton, CA 92833-1527
- **Phone:** (213) 200-3500
## 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 2023
## Record status
- **NPPES last updated:** September 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1770362998) · Data from the CMS NPPES public registry.