CHANG SOOK KIM FNP
NPI 1992560304
Nurse Practitioner - Family in Delano, CA
About Chang Sook Kim Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANG SOOK KIM FNP (NPI 1992560304) is an individual family provider in Delano, California, licensed in California (NP95031133) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Chang Sook 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 Reassignment
Medicare enrollment records show Chang Sook Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Delano, CA 93215
- Reassigned Medicare billing, California enrollment
- 169 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 93215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DELANO, CA 93215
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 Chang Sook Kim's NPI number?
The NPI number for Chang Sook Kim is 1992560304. It was assigned to this individual provider in the NPPES registry on February 15, 2024.
Where is Chang Sook Kim located?
Chang Sook Kim practices at 912 Fremont St, Delano, CA 93215. The listed phone number is (866) 707-6664.
What is Chang Sook Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Chang Sook Kim enrolled in Medicare?
Yes. Chang Sook 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 Chang Sook Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chang Sook Kim reassigns Medicare benefits to Omni Family Health (Delano, 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 Chang Sook 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 Chang Sook Kim was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Chang Sook Kim, FNP · NPI 1992560304
Family physician in Delano, California. Individual provider, active in the CMS NPPES registry since February 15, 2024.
## Identity
- **NPI:** 1992560304 (Entity type: Individual)
- **Enumerated:** February 15, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95031133 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 912 FREMONT ST, Delano, CA 93215-2713
- **Phone:** (866) 707-6664
## 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:** Omni Family Health (NPI 1063925717, Delano, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1992560304) · Data from the CMS NPPES public registry.