CHRISTINE KIM – Family Nurse Practitioner, NPI 1154042885

CHRISTINE KIM is a healthcare provider. based in Irvine, California. specializing in NURSE PRACTITIONER. They hold a License No. 95022315 (CA). The NPI Number for CHRISTINE KIM is 1154042885

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE KIM
NPI
1154042885
Phone
(562) 455-9669
Address
58 CAPRICORN
Enumeration Date
9 September 2022
Last Update Date
9 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9495570720
Graduation Year
2022 (4 years ago)
PAC ID
1052789039
Group Practice PAC ID
1951750413
Professional Enrollment ID
I20221122003518
Address ID
CA926020828IR3877XPKWY300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

Provider Addresses for CHRISTINE KIM

  • 58 CAPRICORN

    IRVINE, CA 926181187

    Phone: (562) 455-9669

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221122003518INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2726$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
99214Established patient office or other outpatient visit, 30-39 minutes1312$0
81002Urinalysis, manual test1111$0
View full utilization report →

Insurance plans in this area (ZIP 92618)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951750413View full group profile
NameSpecialtyState
Nurse PractitionerCA
Physician AssistantCA
Hospitalist, Internal MedicineCA
Family PracticeCA
Family PracticeCA
Physician AssistantCA
Family PracticeCA
Nurse PractitionerCA
Pain Management, Family PracticeMI
Physician AssistantCA

Reviews

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Frequently asked questions

What number should I use to identify CHRISTINE KIM for billing?
Administrative and clinical systems typically use NPI 1154042885 for CHRISTINE KIM.
Should I treat CHRISTINE KIM as an active provider?
Patients and plans typically see CHRISTINE KIM as active in the national extract.
What type of care does CHRISTINE KIM provide?
CHRISTINE KIM's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CHRISTINE KIM tied to Irvine, California?
If you are local to Irvine, California, CHRISTINE KIM may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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