CHANG SOOK KIM FNP
NPI 1992560304
Nurse Practitioner - Family in Delano, CA

Q: 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.

Q: What is Chang Sook Kim's specialty?

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

Q: 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 21 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.

Active since February 15, 2024PECOS EnrolledAccepts Medicare Assignment

912 FREMONT ST, DELANO, CA 93215(866) 707-6664 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1992560304

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCHANG SOOK KIMCredential: FNP

Location Address912 FREMONT STDelano, CA 93215-2713

Mailing Address11825 Campus Park DrBakersfield, CA 93311-8656 · (661) 490-1249

Phone(866) 707-6664

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 15, 2024

Last NPPES UpdateOctober 23, 2024

NPPES CertifiedOctober 23, 2024

✔ NPI 1992560304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95031133

Also ListedRegistered Nurse · NephrologyTaxonomy 163WN0300X · License 95177417 (CA)

912 FREMONT ST, Delano, CA 93215

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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID4880127208

PECOS Enrollment IDI20241111000355

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 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.

New Patient

$91.09 typical visit price

range $59.26 – $178.09

Typical copayment $22.77 (range $14.81 – $44.52)

Most-billed visit code 99203

Established Patient

$104.09 typical visit price

range $19.34 – $145.64

Typical copayment $26.02 (range $4.83 – $36.41)

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.

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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.

OMNI FAMILY HEALTH

Clinic/Center (Federally Qualified Health Center (FQHC))