MS. MIJO KIM
NPI 1851000616
Nurse Practitioner - Family in Milwaukee, WI
About Ms. Mijo Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MIJO KIM (NPI 1851000616) is an individual family provider in Milwaukee, Wisconsin, licensed in Wisconsin (13323) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Mijo Kim 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.
Medicare Billing Reassignment
Medicare enrollment records show Mijo Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53216
- Reassigned Medicare billing, Wisconsin enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MILWAUKEE, WI 53208
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 Mijo Kim's NPI number?
The NPI number for Mijo Kim is 1851000616. It was assigned to this individual provider in the NPPES registry on November 21, 2022.
Where is Mijo Kim located?
Mijo Kim practices at 3727 W Wisconsin Ave, Milwaukee, WI 53208. The listed phone number is (414) 739-0528.
What is Mijo Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mijo Kim enrolled in Medicare?
Yes. Mijo 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.
Which organization bills Medicare for Mijo Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mijo Kim reassigns Medicare benefits to My Health Clinic Corp (Milwaukee, WI). 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 Mijo Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mijo Kim accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Network Health list Mijo 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 Mijo Kim was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Mijo Kim · NPI 1851000616
Family physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since November 21, 2022.
## Identity
- **NPI:** 1851000616 (Entity type: Individual)
- **Enumerated:** November 21, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 13323 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3727 W WISCONSIN AVE, Milwaukee, WI 53208-3182
- **Phone:** (414) 739-0528
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** My Health Clinic Corp (NPI 1346882693, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** November 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1851000616) · Data from the CMS NPPES public registry.