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JANE KIM
NPI 1942984026
Nurse Practitioner - Family in San Francisco, CA

Active since June 09, 2023PECOS EnrolledAccepts Medicare Assignment
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109(415) 600-6500(415) 558-5359 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jane Kim NPPES

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

JANE KIM (NPI 1942984026) is an individual family provider in San Francisco, California, licensed in California (95022090) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942984026
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJANE KIM
Location Address1100 VAN NESS AVESan Francisco, CA 94109-6978
Mailing AddressPo Box 276950Sacramento, CA 95827-6950 · (415) 600-6500 · Fax (415) 558-5359
Phone(415) 600-6500
Fax(415) 558-5359
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 9, 2023
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1942984026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95022090
1100 VAN NESS AVE, San Francisco, CA 94109
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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

Jane Kim 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 ID2264895994
PECOS Enrollment IDI20230829002732
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.

Medicare Billing Reassignment

Medicare enrollment records show Jane Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
15 mi
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1366898538 (510) 204-8180

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 94109 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

CHIALIN LEE PA-C
Physician Assistant
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-1151
JACQUELYN GEERTSEMA
Registered Nurse (Critical Care Medicine)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (559) 250-5852
DR. JAMES FREDERICK VERREES M.D.
Obstetrics & Gynecology
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (415) 750-7050
DR. JACQUELINE ELIZABETH SUMMERS STROMBERG MD
Psychiatry & Neurology (Neurology)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-7880
DR. MATTHEW G MACDOUGALL M.D.
Neurological Surgery
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-0528
DR. WARREN TACKHOON KIM M.D., PH.D.
Radiology (Vascular & Interventional Radiology)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-0528
SHEENA PILLAI
Physical Medicine & Rehabilitation
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-7886
KATRINA ELIZABETH MADDOX FNP
Nurse Practitioner (Family)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-1151

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 Jane Kim's NPI number?

The NPI number for Jane Kim is 1942984026. It was assigned to this individual provider in the NPPES registry on June 9, 2023.

Where is Jane Kim located?

Jane Kim practices at 1100 Van Ness Ave, San Francisco, CA 94109. The listed phone number is (415) 600-6500.

What is Jane Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jane Kim enrolled in Medicare?

Yes. Jane 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 organization bills Medicare for Jane Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Kim reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). 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 Jane 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 Jane Kim was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.