GRACE S KIM NP
NPI 1780363200
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Q: What is Grace Kim's NPI number?

The NPI number for Grace Kim is 1780363200. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Q: What is Grace Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Grace Kim was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 12, 2023PECOS Enrolled

276 5TH AVE RM 604, NEW YORK, NY 10001(332) 239-1962(332) 895-7542 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2025, Jul 12, 2023 (2 updates tracked since 2023).

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About Grace S Kim Np NPPES

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

GRACE S KIM NP (NPI 1780363200) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (405554) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780363200

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameGRACE S KIMCredential: NP

Location Address276 5TH AVE RM 604New York, NY 10001-4527

Mailing Address924 Quinnipiac Ave Apt 1New Haven, CT 06513-3334

Phone(332) 239-1962

Fax(332) 895-7542

Sole ProprietorYes

Enumeration DateJuly 12, 2023

Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1780363200 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

Licenses✔ Licensed in NY · 405554✔ Licensed in CT · 12007✔ Licensed in NJ · 26NJ15086700✔ Licensed in MA · APRN10000642

276 5TH AVE RM 604, New York, NY 10001

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace S Kim Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 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 14

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

DR. ERICA JAEIN LEE MD

Psychiatry & Neurology (Psychiatry)