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JESSICA KIM
NPI 1902195811
Student in an Organized Health Care Education/Training Program in Milton, VT

Active since March 31, 2011PECOS Enrolled
28 CENTRE DRIVE, MAILSTOP 416SA1, MILTON, VT 05468(802) 847-2700 Get Directions Write a Review

NPPES record last updated: March 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Kim NPPES

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

JESSICA KIM (NPI 1902195811) is an individual student in an organized health care education/training program in Milton, Vermont and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902195811
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA KIM
Location Address28 CENTRE DRIVE, MAILSTOP 416SA1Milton, VT 05468
Mailing Address28 Centre Drive, Mailstop 416sa1Milton, VT 05468 · (802) 847-2700
Phone(802) 847-2700
Sole ProprietorNo
Enumeration DateMarch 31, 2011
✔ NPI 1902195811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
28 CENTRE DRIVE, MAILSTOP 416SA1, Milton, VT 05468
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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 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$12.44 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers29 claims29 services$64.25 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$34.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jessica Kim's NPI number?

The NPI number for Jessica Kim is 1902195811. It was assigned to this individual provider in the NPPES registry on March 31, 2011.

Where is Jessica Kim located?

Jessica Kim practices at 28 Centre Drive, Mailstop 416sa1, Milton, VT 05468. The listed phone number is (802) 847-2700.

What is Jessica Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Kim was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.