MS. RONNIE KIM (NP) – Family Nurse Practitioner, NPI 1588704795

MS. RONNIE KIM (NP) is a healthcare provider. based in Urbana, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209006371 (IL). The NPI Number for MS. RONNIE KIM (NP) is 1588704795

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. RONNIE KIM (NP)
NPI
1588704795
Phone
(217) 326-8630
Address
PO BOX 6002
Enumeration Date
7 February 2007
Last Update Date
14 August 2013

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2179022300
Graduation Year
2006 (20 years ago)
PAC ID
9638272164
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20070321000211
Address ID
IL618223743CH3103XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MS. RONNIE KIM (NP)

  • PO BOX 6002

    URBANA, IL 618036002

    Phone: (217) 326-8630

    Type: Mailing

  • 1701 CURTIS RD

    CHAMPAIGN, IL 618229678

    Phone: (217) 365-6203

    Type: Location

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: 2007-03-21

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
I20070321000211INurse PractitionerILTBD

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
99204New patient office or other outpatient visit, 45-59 minutes110110$0
99213Established patient office or other outpatient visit, 20-29 minutes5347$0
99215Established patient office or other outpatient visit, 40-54 minutes5044$0
99203New patient office or other outpatient visit, 30-44 minutes2828$0
99214Established patient office or other outpatient visit, 30-39 minutes2017$0
View full utilization report →

Insurance plans in this area (ZIP 61803)

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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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

Can I use this page to confirm MS. RONNIE KIM (NP)'s NPI?
Yes. MS. RONNIE KIM (NP) is listed with NPI 1588704795 in the public NPI dataset.
Does the file indicate MS. RONNIE KIM (NP) is practicing under active NPI?
Directory data currently reports MS. RONNIE KIM (NP) as active.
What healthcare role does MS. RONNIE KIM (NP) hold?
Scheduling teams often label MS. RONNIE KIM (NP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MS. RONNIE KIM (NP) list a practice location?
Patients near Urbana, Illinois may find MS. RONNIE KIM (NP) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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