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JANE KIM DNP, CRNA
NPI 1962285940
Nurse Anesthetist, Certified Registered in Winston Salem, NC

Active since August 15, 2023Accepts Medicare Assignment
525 VINE ST STE 230, WINSTON SALEM, NC 27101(336) 716-1411 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jane Kim Dnp, Crna NPPES

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

JANE KIM DNP, CRNA (NPI 1962285940) is an individual nurse anesthetist, certified registered in Winston Salem, North Carolina, licensed in California (95002707) and active in the NPI registry since August 2023. She is affiliated with Santiam Hospital and is a graduate of Wake Forest University School Of Medicine (2025).

NPPES Registry Identity

NPI1962285940
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJANE KIMCredential: DNP, CRNA
Location Address525 VINE ST STE 230Winston Salem, NC 27101-4158
Mailing Address950 N Trade St Apt 450Winston Salem, NC 27101-1457
Phone(336) 716-1411
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2025
Enumeration DateAugust 15, 2023
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1962285940 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 CA · 95002707
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.
525 VINE ST STE 230, Winston Salem, NC 27101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Jane Kim Dnp, 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 ID2466940556
PECOS Enrollment IDI20251021003231

Medicare Billing Reassignments

2

Medicare enrollment records show Jane Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Apa Medical Group, Inc.
2,185 mi
Anesthesiology
4005 MISSION OAKS BLVD UNIT A
Camarillo, CA 93012
  • Reassigned Medicare billing, California enrollment
  • 112 clinicians in this Medicare group
NPI 1700596111 (310) 879-5203
Santiam Memorial Hospital
2,278 mi
Family Medicine
280 S FIRST AVE
Mill City, OR 97360
  • Reassigned Medicare billing, Oregon enrollment
  • 152 clinicians in this Medicare group
NPI 1205048097 (503) 897-4100

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

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Santiam Hospital

Acute Care Hospitals · Stayton, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380056
Location1401 N 10th AvenueStayton, OR 97383 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27101 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY NICOLE CONNOLLY
Student in an Organized Health Care Education/Training Program
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1441
ABBY HANSON
Student in an Organized Health Care Education/Training Program
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
TESS ALENE TIDWELL
Student in an Organized Health Care Education/Training Program
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
TRAYCE CALICOTT WILK
Nurse Anesthetist, Certified Registered
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
MEGAN COX-GARCIA
Nurse Anesthetist, Certified Registered
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
CORINNE NATICA LELIA HAUCK CRNA
Nurse Anesthetist, Certified Registered
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
KAYLIN BAREFOOT BSN, RN
Student in an Organized Health Care Education/Training Program
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
JULIA MARTIN STRAWN CRNA
Nurse Anesthetist, Certified Registered
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411

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 1962285940. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Jane Kim located?

Jane Kim practices at 525 Vine St Ste 230, Winston Salem, NC 27101. The listed phone number is (336) 716-1411.

What is Jane Kim's specialty?

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

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 organizations bill Medicare for Jane Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Kim reassigns Medicare benefits to 2 organizations: Apa Medical Group, Inc. (Camarillo, CA) and Santiam Memorial Hospital (Mill City, OR). 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 Jane Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jane Kim accept?

Health plans from Moda Health Plan, Inc. list Jane 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 Jane Kim affiliated with any hospitals?

According to CMS data, Jane Kim is affiliated with Santiam Hospital.

When was this NPI record last updated?

The NPPES record for Jane Kim was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.