ALICE KIM (MSN, FNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1497144620

ALICE KIM (MSN, FNP-BC) is a healthcare provider. based in Reno, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, FNP-BC. They hold a License No. 820119 (NV). The NPI Number for ALICE KIM (MSN, FNP-BC) is 1497144620

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ALICE KIM (MSN, FNP-BC)
NPI
1497144620
Phone
(775) 398-1980
Address
781 MILL ST
Enumeration Date
12 January 2015
Last Update Date
11 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8554347763
Graduation Year
2016 (10 years ago)
PAC ID
8123344751
Group Practice PAC ID
8921400599
Professional Enrollment ID
I20191015003532
Address ID
NV891690952LA3753XPKWY401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for ALICE KIM (MSN, FNP-BC)

  • 781 MILL ST

    RENO, NV 895021320

    Phone: (775) 398-1980

    Fax: (775) 398-1981

    Type: Location

  • 6330 S JONES BLVD

    LAS VEGAS, NV 891183302

    Phone: (702) 659-9090

    Fax: (866) 879-7229

    Type: Mailing

  • 190 W GERMANTOWN PIKE

    SUITE 110

    EAST NORRITON, PA 194011385

    Phone: (610) 272-0190

    Fax: (610) 272-4428

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($84).

Total Amount

$160

General + Research + Ownership

Payments

5

Total payment records

General Amount

$160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

Latest reported date

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: 2019-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150226000108INurse PractitionerPATBD
I20191015003532INurse PractitionerNVTBD

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
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi1,950211$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,162217$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes826202$0
99452Telephone or internet referral service, 30 minutes712235$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes5151$0
View full utilization report →

Insurance plans in this area (ZIP 89502)

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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: 8921400599View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Physician AssistantNV
Nurse PractitionerNV
Nurse PractitionerNV
Clinical Social WorkerLA
Nurse PractitionerKY
Nurse PractitionerNV

Reviews

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Frequently asked questions

What number should I use to identify ALICE KIM (MSN, FNP-BC) for billing?
Administrative and clinical systems typically use NPI 1497144620 for ALICE KIM (MSN, FNP-BC).
Should I treat ALICE KIM (MSN, FNP-BC) as an active provider?
Patients and plans typically see ALICE KIM (MSN, FNP-BC) as active in the national extract.
What type of care does ALICE KIM (MSN, FNP-BC) provide?
ALICE KIM (MSN, FNP-BC)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to ALICE KIM (MSN, FNP-BC)?
The directory associates ALICE KIM (MSN, FNP-BC) with Reno, Nevada. Check all listed addresses for suites or satellite offices.
Why is information missing for ALICE KIM (MSN, FNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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