YOO JUNG KIM CRNA
NPI 1881083103
Nurse Anesthetist, Certified Registered in Dallas, TX

Active since January 12, 2015Accepts Medicare Assignment
5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-3111 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Yoo Jung Kim Crna NPPES

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

YOO JUNG KIM CRNA (NPI 1881083103) is an individual nurse anesthetist, certified registered in Dallas, Texas, licensed in Texas (817179) and active in the NPI registry since January 2015. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1881083103
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameYOO JUNG KIMCredential: CRNA
Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201
Mailing Address1825 Thistle Hill Dr, Apt 17101Fort Worth, TX 76110-7434 · (817) 239-3151
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 12, 2015
Last NPPES UpdateDecember 2, 2021
NPPES CertifiedDecember 2, 2021
✔ NPI 1881083103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · 817179
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
5323 HARRY HINES BLVD, Dallas, TX 75390

Accepted Insurance

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

Yoo Jung Kim Crna 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.

PECOS PAC ID2062739378
PECOS Enrollment IDI20210126001538

Medicare Billing Reassignments

4

Medicare enrollment records show Yoo Kim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
11760 CENTRAL AVE
Chino, CA 91710
  • Reassigned Medicare billing, California enrollment
  • 25 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1794 S BARRANCA AVE
Glendora, CA 91740
  • Reassigned Medicare billing, California enrollment
  • 43 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
950 KEMPTON AVE
Monterey Park, CA 91755
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Lightning Anesthesia Nursing Services PC
  • 20 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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.

Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Emergency Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75390

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 Yoo Kim's NPI number?

The NPI number for Yoo Kim is 1881083103. It was assigned to this individual provider in the NPPES registry on January 12, 2015.

Where is Yoo Kim located?

Yoo Kim practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 648-3111.

What is Yoo Kim's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Yoo Kim enrolled in Medicare?

Yes. Yoo 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 organizations bill Medicare for Yoo Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yoo Kim reassigns Medicare benefits to 4 organizations: Southern California Permanente Medical Group (San Diego, CA), Vasa Anesthesia Professional Corporation (Chino, CA), Glendora Anesthesia Associates LP (Glendora, CA) and Lightning Anesthesia Nursing Services, P.C. (Monterey Park, CA). Each 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 Yoo Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yoo Kim accept?

Health plans from Oscar Insurance Company list Yoo 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 Yoo Kim was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.