YEJIN KIM AGNP
NPI 1861188948
Nurse Practitioner - Adult Health in Raleigh, NC
About Yejin Kim Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YEJIN KIM AGNP (NPI 1861188948) is an individual adult health provider in Raleigh, North Carolina, licensed in North Carolina (5018482) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains a secondary practice location in Raleigh.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
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
Yejin Kim Agnp 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 Yejin Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Raleigh, NC 27607
- Reassigned Medicare billing, North Carolina enrollment
- 701 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rex Hospital
Acute Care Hospitals · Raleigh, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27607 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.
RALEIGH, NC 27607
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 Yejin Kim's NPI number?
The NPI number for Yejin Kim is 1861188948. It was assigned to this individual provider in the NPPES registry on April 12, 2023.
Where is Yejin Kim located?
Yejin Kim practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-3542.
What is Yejin Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Yejin Kim enrolled in Medicare?
Yes. Yejin 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 Yejin Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yejin Kim reassigns Medicare benefits to North Carolina Mg, LLC (Raleigh, NC). 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 Yejin Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Yejin Kim affiliated with any hospitals?
According to CMS data, Yejin Kim is affiliated with Rex Hospital.
When was this NPI record last updated?
The NPPES record for Yejin Kim was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Yejin Kim, AGNP · NPI 1861188948
Adult Health physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since April 12, 2023.
## Identity
- **NPI:** 1861188948 (Entity type: Individual)
- **Enumerated:** April 12, 2023
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 5018482 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4420 LAKE BOONE TRL, Raleigh, NC 27607-7505
- **Phone:** (919) 784-3542
## 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:** North Carolina Mg, LLC (NPI 1215741640, Raleigh, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1861188948) · Data from the CMS NPPES public registry.