HYOHAENG KIM NURSE PRACTITIONER
NPI 1871372417
Nurse Practitioner - Family in Southlake, TX

Q: What is Hyohaeng Kim's NPI number?

The NPI number for Hyohaeng Kim is 1871372417. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Q: What is Hyohaeng Kim'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 Hyohaeng Kim was last updated on September 25, 2023. 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.

Active since September 25, 2023PECOS Enrolled

1545 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092(817) 748-8700 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Hyohaeng Kim Nurse Practitioner NPPES

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

HYOHAENG KIM NURSE PRACTITIONER (NPI 1871372417) is an individual family provider in Southlake, Texas, licensed in Texas (1131837) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1871372417

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHYOHAENG KIMCredential: NURSE PRACTITIONER

Location Address1545 E SOUTHLAKE BLVDSouthlake, TX 76092-6422

Mailing Address4604 Timken TrlFort Worth, TX 76137-6173 · (949) 331-8020

Phone(817) 748-8700

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 25, 2023

NPPES CertifiedSeptember 23, 2023

✔ NPI 1871372417 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 TX · 1131837

1545 E SOUTHLAKE BLVD, Southlake, TX 76092

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hyohaeng Kim Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284083122

PECOS Enrollment IDI20231218001382

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 Hyohaeng Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Flow Health PC

7.4 mi

Family Medicine

1903 CENTRAL DR STE 215
Bedford, TX 76021

Reassigned Medicare billing, Texas enrollment
13 clinicians in this Medicare group

NPI 1861382004 (321) 684-3003

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 10

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.

Restorigin, per square centimeter Q4191

Restorigin is a medical procedure that helps in the regeneration of skin tissue. It's typically used for wound healing and involves the application of skin cells to the affected area. The service is charged per square centimeter, relating to the size of the treatment area.

1,190 services15 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

265 services67 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

249 services70 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

205 services23 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

130 services22 patients

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275

This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.

76 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

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.

WHITNEY HOLMANS PT

Physical Therapist

1545 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092

Tarrant County (817) 442-9300

DANIEL PECKENPAUGH MD

Emergency Medicine

1545 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092

Tarrant County (817) 748-8700

REBECCA MILLER PTA

Physical Therapy Assistant

1545 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092

Tarrant County (817) 442-9300

DFW NEUROMONITORING SERVICE II, PA

Specialist/Technologist, Other (Electroneurodiagnostic)

1545 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092

Tarrant County (817) 442-9300

DR. DEBORAH MARLAINE LARRISON M.D.

Specialist

1545 E SOUTHLAKE BLVD, SUITE 250
SOUTHLAKE, TX 76092

Tarrant County (817) 416-8080

ROBERT FRANK LUTZ III MD

Emergency Medicine

1545 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092

Tarrant County (817) 557-8205

DR. ROBERT W SEWELL MD

Surgery

1545 E SOUTHLAKE BLVD, SUITE 140
SOUTHLAKE, TX 76092

Tarrant County (817) 748-0200

MICHELLE HATLEY PT

Physical Therapist

1545 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092

Tarrant County (817) 442-9300

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 Hyohaeng Kim's NPI number?

The NPI number for Hyohaeng Kim is 1871372417. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Hyohaeng Kim located?

Hyohaeng Kim practices at 1545 E Southlake Blvd, Southlake, TX 76092. The listed phone number is (817) 748-8700.

What is Hyohaeng Kim's specialty?

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

Is Hyohaeng Kim enrolled in Medicare?

Yes. Hyohaeng Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hyohaeng Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hyohaeng Kim reassigns Medicare benefits to Flow Health PC (Bedford, TX). 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 Hyohaeng Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hyohaeng Kim accept?

Health plans from Molina Healthcare and WellPoint list Hyohaeng 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 Hyohaeng Kim was last updated on September 25, 2023. 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.