MINSUN KIM (NP) – Family Nurse Practitioner, NPI 1205225554
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for MINSUN KIM (NP)
606 E WALNUT ST
ROBINSON, IL 624543423
Phone: (812) 229-0710
Type: Mailing
1569 A ST NE
LINTON, IN 474411607
Phone: (812) 846-3380
Type: Location
520 S 7TH ST
VINCENNES, IN 475911038
Phone: (812) 885-3810
Fax: (812) 885-3811
Type: Location
520 S 7th St
Vincennes, IN 475911038
Phone: (812) 885-3810
Fax: (812) 885-3811
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2024-06-28 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $13 |
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: 2015-01-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150112001154 | I | Nurse Practitioner | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 59 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 20 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 16 | 16 | $0 |
Insurance plans in this area (ZIP 62454)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | IL | |
| - | IN | |
| - | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Hand Surgery | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| Orthopedic Surgery, Sports Medicine | IN | |
| D E R M A T O L O G Y | OH | |
| - | IN |
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