MIYONG KIM NP
NPI 1790246478
Nurse Practitioner - Family in Tacoma, WA

Q: What is Miyong Kim's NPI number?

The NPI number for Miyong Kim is 1790246478. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Q: What is Miyong Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Miyong Kim was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 26, 2019PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1110 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Miyong Kim Np NPPES

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

MIYONG KIM NP (NPI 1790246478) is an individual family provider in Tacoma, Washington, licensed in California (95010459) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790246478

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMIYONG KIMCredential: NP

Location Address9040 JACKSON AVETacoma, WA 98431-5108

Mailing Address3663 W 4th St Unit 10Los Angeles, CA 90020-2335

Phone(253) 968-1110

Sole ProprietorYes

Enumeration DateMarch 26, 2019

Last NPPES UpdateMarch 17, 2022

NPPES CertifiedMarch 17, 2022

✔ NPI 1790246478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95010459

9040 JACKSON AVE, Tacoma, WA 98431

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13255 Wilshire Blvd Ste 120Los Angeles, CA 90010-1405 · Phone (213) 235-2500

Location 23727 W 6th St Ste 210Los Angeles, CA 90020-5108 · Phone (213) 235-1203

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miyong 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 98431 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 20

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

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered