Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. JAE MIN KIM APRN, PMHNP-C
NPI 1982428777
Nurse Practitioner - Psychiatric/Mental Health in Stamford, CT

Q: What is Jae Kim's NPI number?

The NPI number for Jae Kim is 1982428777. It was assigned to this individual provider in the NPPES registry on November 8, 2024.

Q: What is Jae Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jae Kim was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.

Active since November 08, 2024PECOS Enrolled

1055 SUMMER ST STE 2, STAMFORD, CT 06905(203) 504-9758(203) 547-4914 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Jun 2, 2026, Nov 8, 2024 (3 updates tracked since 2024).

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About Ms. Jae Min Kim Aprn, Pmhnp-c NPPES

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

MS. JAE MIN KIM APRN, PMHNP-C (NPI 1982428777) is an individual psychiatric/mental health provider in Stamford, Connecticut, licensed in Connecticut (12.017259) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stamford, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1982428777

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. JAE MIN KIMCredential: APRN, PMHNP-C

Location Address1055 SUMMER ST STE 2Stamford, CT 06905-5527

Mailing Address1055 Summer St Ste 2Stamford, CT 06905-5527 · (203) 504-9758 · Fax (203) 547-4914

Phone(203) 504-9758

Fax(203) 547-4914

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 8, 2024

Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1982428777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CT · 12.017259

1055 SUMMER ST STE 2, Stamford, CT 06905

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Secondary Practice Location 1

Location 137 Highline TrlStamford, CT 06902-1002 · Phone (347) 581-5447

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jae Min Kim Aprn, Pmhnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436620507

PECOS Enrollment IDI20260609003591

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06905 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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 5

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

KRISTOFER GENERALES NP

Nurse Practitioner (Psychiatric/Mental Health)