MIRA KIM (ARNP) – Adult Health Nurse Practitioner, NPI 1710212477
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,550 NURSE PRACTITIONER in KS
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Provider Addresses for MIRA KIM (ARNP)
720, 1st Terrace, Lansing, Leavenworth County, Kansas, 66043, United States
LANSING, KS 660431704
Phone: (913) 682-5588
Fax: (913) 682-2698
Type: Location
12413, West 100th Place, Century Estates, Lenexa, Johnson County, Kansas, 66215, United States
LENEXA, KS 662151929
Phone: (913) 492-3484
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $919.
Total Amount is formed as General ($919) + Research ($0) + Ownership ($0) = $919.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: ABBVIE INC. ($234).
Total Amount
$919
General + Research + Ownership
Payments
41
Total payment records
General Amount
$919
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $234 |
| AstraZeneca Pharmaceuticals LP | $162 |
| Lilly USA, LLC | $85 |
| NESTLE HEALTHCARE NUTRITION INC. | $64 |
| CeQur Corporation | $51 |
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: 2012-03-15
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 |
|---|---|---|---|---|
| I20120315000103 | I | Nurse Practitioner | KS | 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 | 264 | 179 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 28 | 18 | $0 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 28 | 27 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 27 | 27 | $0 |
| 71046 | X-ray of chest, 2 views | 20 | 19 | $0 |
Insurance plans in this area (ZIP 66043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| Nurse Practitioner | KS | |
| Family Practice | KS |
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