MARTHA KIM – Family Nurse Practitioner, NPI 1003491929
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,947 NURSE PRACTITIONER in NV
Provider Addresses for MARTHA KIM
3265 E TROPICANA AVE
LAS VEGAS, NV 891217386
Phone: (702) 577-1910
Fax: (888) 481-1462
Type: Mailing
2370 CORPORATE CIR STE 300
HENDERSON, NV 890747760
Phone: (702) 910-3950
Type: Mailing
9065 S PECOS RD STE 190
HENDERSON, NV 890746605
Phone: (702) 888-3148
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $188.
Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.
Last reported payment date: 2023-12-11 • Largest payer in this snapshot: PFIZER INC. ($64).
Total Amount
$188
General + Research + Ownership
Payments
10
Total payment records
General Amount
$188
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $64 |
| Novo Nordisk Inc | $39 |
| GlaxoSmithKline, LLC. | $19 |
| Esperion Therapeutics, Inc. | $18 |
| Exact Sciences Corporation | $17 |
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: 2021-04-12
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 |
|---|---|---|---|---|
| I20210412000721 | I | Nurse Practitioner | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Physician Assistant | NV | |
| - | NV | |
| Nurse Practitioner | NV | |
| - | FL | |
| - | NV | |
| Family Practice | NV |
Reviews
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