MI SONG KONG FNP-C
NPI 1851050108
Nurse Practitioner - Family in Annandale, VA
About Mi Song Kong Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MI SONG KONG FNP-C (NPI 1851050108) is an individual family provider in Annandale, Virginia, licensed in Virginia (0024182544) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mi Song Kong Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mi Song Kong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Annandale, VA 22003
- Reassigned Medicare billing, District of Columbia enrollment
- 3 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22003 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mi Song Kong's NPI number?
The NPI number for Mi Song Kong is 1851050108. It was assigned to this individual provider in the NPPES registry on December 14, 2021.
Where is Mi Song Kong located?
Mi Song Kong practices at 4208 Evergreen Ln, Annandale, VA 22003. The listed phone number is (703) 642-2288.
What is Mi Song Kong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mi Song Kong enrolled in Medicare?
Yes. Mi Song Kong is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mi Song Kong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mi Song Kong reassigns Medicare benefits to Peter D Kim MD PC (Annandale, VA). 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 Mi Song Kong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mi Song Kong was last updated on December 14, 2021. 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.
# Mi Song Kong, FNP-C · NPI 1851050108
Family physician in Annandale, Virginia. Individual provider, active in the CMS NPPES registry since December 14, 2021.
## Identity
- **NPI:** 1851050108 (Entity type: Individual)
- **Enumerated:** December 14, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024182544 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4208 EVERGREEN LN, Annandale, VA 22003-3235
- **Phone:** (703) 642-2288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Peter D Kim MD PC (NPI 1134309685, Annandale, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** December 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1851050108) · Data from the CMS NPPES public registry.