JESSICA KIM N.P.
NPI 1871850032
Nurse Practitioner - Women's Health in Tacoma, WA

Q: What is Jessica Kim's NPI number?

The NPI number for Jessica Kim is 1871850032. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Q: What is Jessica Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kim was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 12, 2012PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1110 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jessica Kim N.p. NPPES

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

JESSICA KIM N.P. (NPI 1871850032) is an individual women's health provider in Tacoma, Washington, licensed in California (21602) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871850032

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameJESSICA KIMCredential: N.P.

Location Address9040 JACKSON AVETacoma, WA 98431-3186

Mailing AddressPo Box 11782Newport Beach, CA 92658-5041

Phone(253) 968-1110

Sole ProprietorNo

Enumeration DateApril 12, 2012

Last NPPES UpdateSeptember 1, 2020

NPPES CertifiedSeptember 1, 2020

✔ NPI 1871850032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in CA · 21602

Also ListedNurse PractitionerTaxonomy 363L00000X · License 21602 (CA)

9040 JACKSON AVE, Tacoma, WA 98431

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Kim N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 98431 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered