HYUN JI KIM
NPI 1780454611
Nurse Anesthetist, Certified Registered in Puyallup, WA

NPI Status: Active since January 02, 2024

Contact Information

400 E PIONEER STE 101
PUYALLUP, WA
ZIP 98372
Phone: (253) 445-5828

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  • Individual
  • Female
  • Years of Experience 2
  • Nurse Anesthetist, Certified Registered
  • Accepts Medicare Approved Payment

About HYUN JI KIM

This page provides the complete NPI Profile along with additional information for Hyun Ji Kim, a provider established in Puyallup, Washington with a medical specialization in Nurse Anesthetist, Certified Registered and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1780454611 assigned on January 2024. The practitioner's primary taxonomy code is 367500000X with license number AP61564724 (WA). The provider is registered as an individual and her NPI record was last updated August 2025.

NPI
1780454611
Provider Name
HYUN JI KIM
Gender
Female
Entity Type
Individual
Location Address
400 E PIONEER STE 101 PUYALLUP, WA 98372
Location Phone
(253) 445-5828
Mailing Address
400 E PIONEER STE 101 PUYALLUP, WA 98372
Medical School Name
OTHER
Graduation Year
2024
Is Sole Proprietor?
No
Enumeration Date
01-02-2024
Last Update Date
08-08-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP61564724
License State
WA
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Medicare Participation & PECOS Enrollment Status

Hyun Ji Kim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 3678019429

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240729001998

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Hyun Ji Kim is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MULTICARE AUBURN MEDICAL CENTER202 NORTH DIVISION STREET PLAZA ONE
AUBURN, WA 98001
(253) 833-7711Acute Care Hospitals
MULTICARE GOOD SAMARITAN HOSPITAL401 15TH AVENUE SE
PUYALLUP, WA 98372
(253) 697-2102Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780454611
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2716085862
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 8 + 5 + 8 + 6 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1780454611 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

WILLIAM R RINKER MD

Anesthesiology

400 E PIONEER STE 101
PUYALLUP, WA
ZIP 98372

(253) 445-5828

DR. ROBB K NAGATA MD

Anesthesiology

400 E PIONEER STE 101
PUYALLUP, WA
ZIP 98372

(253) 445-5828

RAINIER ANESTHESIA ASSOCIATES PC

Anesthesiology

400 E PIONEER STE 101
PUYALLUP, WA
ZIP 98372

(253) 445-5828

MERCADES MEULI D.O

Anesthesiology

400 E PIONEER STE 101
PUYALLUP, WA
ZIP 98372

(253) 445-5828

ERICA LOUISE LILLENESS D.O.

Anesthesiology

400 E PIONEER STE 101
PUYALLUP, WA
ZIP 98372

(253) 445-5828

NINA KIM MCCLYMONT

Nurse Anesthetist, Certified Registered

400 E PIONEER STE 101
PUYALLUP, WA
ZIP 98372

(253) 445-5828

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780454611, enumerated as an "individual" on January 02, 2024.

The provider is located at 400 E PIONEER STE 101 PUYALLUP, WA 98372 and the phone number is (253) 445-5828.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Hyun Ji Kim is affiliated with: MULTICARE AUBURN MEDICAL CENTER and MULTICARE GOOD SAMARITAN HOSPITAL.