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MRS. HYO IM KIM FNP
NPI 1861384182
Nurse Practitioner - Family in Granada Hills, CA

Active since July 21, 2025PECOS Enrolled
16256 HIAWATHA ST, GRANADA HILLS, CA 91344(818) 271-6035 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Hyo Im Kim Fnp NPPES

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

MRS. HYO IM KIM FNP (NPI 1861384182) is an individual family provider in Granada Hills, California, licensed in California (95035327) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861384182
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. HYO IM KIMCredential: FNP
Location Address16256 HIAWATHA STGranada Hills, CA 91344-6828
Mailing Address16256 Hiawatha StGranada Hills, CA 91344-6828 · (818) 271-6035
Phone(818) 271-6035
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 21, 2025
NPPES CertifiedJuly 20, 2025
✔ NPI 1861384182 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 · 95035327
16256 HIAWATHA ST, Granada Hills, CA 91344
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Hyo Im Kim Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375037617
PECOS Enrollment IDI20251212003717
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.

Medicare Billing Reassignment

Medicare enrollment records show Hyo Im Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Agoura Hills Urgentocare PC
17 mi
Urgent Care
5825 KANAN RD
Agoura Hills, CA 91301
  • Reassigned Medicare billing, California enrollment
  • 16 clinicians in this Medicare group
NPI 1043840465 (424) 355-1963

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 91344 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Hyo Im Kim's NPI number?

The NPI number for Hyo Im Kim is 1861384182. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Where is Hyo Im Kim located?

Hyo Im Kim practices at 16256 Hiawatha St, Granada Hills, CA 91344. The listed phone number is (818) 271-6035.

What is Hyo Im Kim's specialty?

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

Is Hyo Im Kim enrolled in Medicare?

Yes. Hyo Im Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hyo Im Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hyo Im Kim reassigns Medicare benefits to Agoura Hills Urgentocare PC (Agoura Hills, CA). 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 Hyo Im Kim'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 Hyo Im Kim was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.