KYUNG HEE KANG (FNP) – Family Nurse Practitioner, NPI 1205683380

KYUNG HEE KANG (FNP) is a healthcare provider. based in Redding, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 95028832 (CA). The NPI Number for KYUNG HEE KANG (FNP) is 1205683380

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KYUNG HEE KANG (FNP)
NPI
1205683380
Phone
(530) 243-8669
Address
1825 Sonoma St
Enumeration Date
6 May 2024
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5302438667
Graduation Year
2023 (3 years ago)
PAC ID
5799126959
Group Practice PAC ID
9931112075
Professional Enrollment ID
I20240519000047
Address ID
CA960012531RE2147XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

16,538 NURSE PRACTITIONER in CA

Provider Addresses for KYUNG HEE KANG (FNP)

  • 1825 Sonoma St

    Redding, CA 960012519

    Phone: (530) 243-8669

    Type: Location

  • PO BOX 994190

    REDDING, CA 960994190

    Phone: (530) 243-8667

    Fax: (530) 243-8742

    Type: Mailing

  • 2147 COURT ST

    REDDING, CA 960012531

    Phone: (530) 243-8667

    Fax: (530) 243-8742

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $363.

Total Amount is formed as General ($363) + Research ($0) + Ownership ($0) = $363.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Janssen Biotech, Inc. ($134).

Total Amount

$363

General + Research + Ownership

Payments

13

Total payment records

General Amount

$363

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-19

PECOS data refreshed: 2026-06-15

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
I20240519000047INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96001)

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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: 9931112075View full group profile
NameSpecialtyState
Family Practice, Geriatric MedicineMT
Physician AssistantCA
Hematology/Oncology, Internal MedicineCA
Family PracticeCA
Physician AssistantCA
G A S T R O E N T E R O L O G YCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Where can patients find KYUNG HEE KANG (FNP)'s NPI?
You can confirm KYUNG HEE KANG (FNP) with NPI 1205683380; it appears in the national provider directory.
Does this profile mean KYUNG HEE KANG (FNP) is currently active?
Yes — KYUNG HEE KANG (FNP) appears active in the national provider directory.
What does KYUNG HEE KANG (FNP) treat or focus on?
Patients typically see KYUNG HEE KANG (FNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KYUNG HEE KANG (FNP) practice in California?
You will see Redding, California on file for KYUNG HEE KANG (FNP) alongside any extra practice locations.
How can I contact KYUNG HEE KANG (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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