JUSTINE J KIM FNP
NPI 1841089067
Nurse Practitioner - Family in Victorville, CA

Active since May 05, 2025PECOS EnrolledAccepts Medicare Assignment
17310 BEAR VALLEY RD STE 101, VICTORVILLE, CA 92395(909) 735-2446 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justine J Kim Fnp NPPES

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

JUSTINE J KIM FNP (NPI 1841089067) is an individual family provider in Victorville, California, licensed in California (95034972) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1841089067
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTINE J KIMCredential: FNP
Location Address17310 BEAR VALLEY RD STE 101Victorville, CA 92395-7773
Mailing Address17310 Bear Valley Rd Ste 101Victorville, CA 92395-7773 · (909) 735-2446
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 5, 2025
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
NPI 1841089067 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 · 95034972
17310 BEAR VALLEY RD STE 101, Victorville, CA 92395

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

Justine J Kim Fnp 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.

PECOS PAC ID9931607967
PECOS Enrollment IDI20250808004066
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 92395 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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

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

Nurse Practitioner (Family)
17310 BEAR VALLEY RD STE 101
VICTORVILLE, CA 92395

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 Justine Kim's NPI number?

The NPI number for Justine Kim is 1841089067. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Justine Kim located?

Justine Kim practices at 17310 Bear Valley Rd Ste 101, Victorville, CA 92395. The listed phone number is (909) 735-2446.

What is Justine Kim's specialty?

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

Is Justine Kim enrolled in Medicare?

Yes. Justine 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.

When was this NPI record last updated?

The NPPES record for Justine Kim was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.