MI SONG KONG FNP-C
NPI 1851050108
Nurse Practitioner - Family in Annandale, VA

Q: 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.

Q: What is Mi Song Kong'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 Mi Song Kong was last updated on December 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 14, 2021PECOS Enrolled

4208 EVERGREEN LN, ANNANDALE, VA 22003(703) 642-2288 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

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

NPI1851050108

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMI SONG KONGCredential: FNP-C

Location Address4208 EVERGREEN LNAnnandale, VA 22003-3235

Mailing Address309 Lannon CtAlexandria, VA 22304-8636

Phone(703) 642-2288

Sole ProprietorYes

Medical School CMSGeorge Washington University School Of MedicineGraduated 2021

Enumeration DateDecember 14, 2021

NPPES CertifiedDecember 14, 2021

✔ NPI 1851050108 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 VA · 0024182544

4208 EVERGREEN LN, Annandale, VA 22003

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mi Song Kong Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709364730

PECOS Enrollment IDI20260202000192

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 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.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

Leave this field empty