JENNY KIM NP
NPI 1942168794
Nurse Practitioner - Gerontology in Orlando, FL
About Jenny Kim Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNY KIM NP (NPI 1942168794) is an individual gerontology provider in Orlando, Florida, licensed in Florida (APRN11041465) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jenny Kim Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jenny Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tampa, FL 33629
- Reassigned Medicare billing, Florida enrollment
- 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 32803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jenny Kim's NPI number?
The NPI number for Jenny Kim is 1942168794. It was assigned to this individual provider in the NPPES registry on January 12, 2026.
Where is Jenny Kim located?
Jenny Kim practices at 601 E Rollins St, Orlando, Orlando, FL 32803. The listed phone number is (407) 303-5600.
What is Jenny Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Jenny Kim enrolled in Medicare?
Yes. Jenny Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jenny Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Kim reassigns Medicare benefits to Cerebrum Healthcare LLC (Tampa, FL). 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 Jenny Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jenny Kim was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jenny Kim, NP · NPI 1942168794
Gerontology physician in Orlando, Florida. Individual provider, active in the CMS NPPES registry since January 12, 2026.
## Identity
- **NPI:** 1942168794 (Entity type: Individual)
- **Enumerated:** January 12, 2026
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** APRN11041465 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 601 E ROLLINS ST, ORLANDO, Orlando, FL 32803
- **Phone:** (407) 303-5600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cerebrum Healthcare LLC (NPI 1255849055, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1942168794) · Data from the CMS NPPES public registry.