DONG-YOUNG KIM FNP
NPI 1912414731
Nurse Practitioner - Family in Fallon, NV
About Dong-young Kim Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONG-YOUNG KIM FNP (NPI 1912414731) is an individual family provider in Fallon, Nevada, licensed in Nevada (823622) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Dong-young Kim Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Dong-young Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fallon, NV 89406
- Reassigned Medicare billing, Nevada enrollment
- 27 clinicians in this Medicare group
Fallon, NV 89406
- Reassigned Medicare billing, Texas enrollment
- 30 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Renown Regional Medical Center
Acute Care Hospitals · Reno, NVBanner Churchill Community Hospital
Critical Access Hospitals · Fallon, NVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Dong-young Kim's NPI number?
The NPI number for Dong-young Kim is 1912414731. It was assigned to this individual provider in the NPPES registry on January 2, 2018.
Where is Dong-young Kim located?
Dong-young Kim practices at 801 E Williams Ave Ste &2207, Fallon, NV 89406. The listed phone number is (775) 867-7740.
What is Dong-young Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dong-young Kim enrolled in Medicare?
Yes. Dong-young 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 Dong-young Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dong-young Kim reassigns Medicare benefits to 2 organizations: Banner Churchill Community Hospital (Fallon, NV) and Fallon Tribal Health Center (Fallon, NV). 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 Dong-young Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dong-young Kim accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Dong-young 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.
Is Dong-young Kim affiliated with any hospitals?
According to CMS data, Dong-young Kim is affiliated with Renown Regional Medical Center and Banner Churchill Community Hospital.
When was this NPI record last updated?
The NPPES record for Dong-young Kim was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dong-Young Kim, FNP · NPI 1912414731
Family physician in Fallon, Nevada. Individual provider, active in the CMS NPPES registry since January 2, 2018.
## Identity
- **NPI:** 1912414731 (Entity type: Individual)
- **Enumerated:** January 2, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 823622 (Nevada)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 801 E WILLIAMS AVE STE &2207, Fallon, NV 89406-3052
- **Phone:** (775) 867-7740
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Banner Churchill Community Hospital (NPI 1265811251, Fallon, NV); Fallon Tribal Health Center (NPI 1023057478, Fallon, NV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912414731) · Data from the CMS NPPES public registry.