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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYOOHEE KIM CRNP
NPI 1831077718
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ

Active since August 26, 2025PECOS Enrolled
550 MAYOR GIBSON BLVD STE 606, NEWARK, NJ 07102(201) 822-1161 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kyoohee Kim Crnp NPPES

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

KYOOHEE KIM CRNP (NPI 1831077718) is an individual psychiatric/mental health provider in Newark, New Jersey, licensed in New Jersey (26NJ15506000) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elkins Park, and is a graduate of Drexel University College Of Medicine (2025).

NPPES Registry Identity

NPI1831077718
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKYOOHEE KIMCredential: CRNP
Location Address550 MAYOR GIBSON BLVD STE 606Newark, NJ 07102-4537
Mailing Address346 Glen WayElkins Park, PA 19027-1740 · (215) 715-7280
Phone(201) 822-1161
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2025
Enumeration DateAugust 26, 2025
Last NPPES UpdateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1831077718 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
License✔ Licensed in NJ · 26NJ15506000
550 MAYOR GIBSON BLVD STE 606, Newark, NJ 07102
Open in Google Maps ↗

Secondary Practice Location 1

Location 1346 Glen WayElkins Park, PA 19027-1740 · Phone (215) 715-7280

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2264913797
PECOS Enrollment IDI20260224000211
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.

Medicare Billing Reassignment

Medicare enrollment records show Kyoohee Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jls Medical PC
6.9 mi
Psychiatry
550 BROAD ST STE 606
Newark, NJ 07102
  • Reassigned Medicare billing, New Jersey enrollment
  • 141 clinicians in this Medicare group
NPI 1164007043 (201) 822-1161

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

DR. KATHLEEN MARIE PINTO ARAYA PHD, MBA, MSN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161
MRS. KEISHA KATRICE SPARROW MA, LPC
Counselor (Professional)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161
LYDIA OLUWASEUN OYAWOLE
Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161
KARIM ELSAYED
Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161
ANTONIO CARABALLO
Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161
SADE BETHEA
Social Worker (Clinical)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161
JORDAN LYNN INDYK
Social Worker (Clinical)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161
NEKEN PRINGLE
Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161

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 Kyoohee Kim's NPI number?

The NPI number for Kyoohee Kim is 1831077718. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Kyoohee Kim located?

Kyoohee Kim practices at 550 Mayor Gibson Blvd Ste 606, Newark, NJ 07102. The listed phone number is (201) 822-1161.

What is Kyoohee Kim's specialty?

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

Is Kyoohee Kim enrolled in Medicare?

Yes. Kyoohee Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyoohee Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyoohee Kim reassigns Medicare benefits to Jls Medical PC (Newark, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyoohee Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyoohee Kim accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kyoohee 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 Kyoohee Kim was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.