DONG-YOUNG KIM (FNP) – Family Nurse Practitioner, NPI 1912414731

DONG-YOUNG KIM (FNP) is a healthcare provider. based in Fallon, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 823622 (NV). The NPI Number for DONG-YOUNG KIM (FNP) is 1912414731

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DONG-YOUNG KIM (FNP)
NPI
1912414731
Phone
(775) 867-7740
Address
801 E WILLIAMS AVE STE &2207
Enumeration Date
2 January 2018
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7758677701
Graduation Year
2017 (9 years ago)
PAC ID
5496017394
Group Practice PAC ID
9638080500
Professional Enrollment ID
I20230719002477
Address ID
NV894063052FA801XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for DONG-YOUNG KIM (FNP)

  • 801 E WILLIAMS AVE STE &2207

    FALLON, NV 894063052

    Phone: (775) 867-7740

    Type: Mailing

  • 60 COMMERCE PLAZA CIR

    PEMBROKE, NC 283727386

    Phone: (910) 521-2900

    Fax: (910) 775-9165

    Type: Mailing

  • 610 E DR MARTIN LUTHER KING JR DR

    MAXTON, NC 283641800

    Phone: (910) 844-5253

    Fax: (910) 844-3290

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-07-19

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
I20200103001866INurse PractitionerTXTBD
I20230719002477INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes6136$0
99214Established patient office or other outpatient visit, 30-39 minutes2619$0
83036Hemoglobin a1c level1613$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1514$0
84443Blood test, thyroid stimulating hormone (tsh)1414$0
View full utilization report →

Insurance plans in this area (ZIP 89406)

Loading plans...

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: 9638080500View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNV
Family PracticeNV
Nurse PractitionerNV
General SurgeryPA
Physician AssistantNV
Internal Medicine, Family PracticeNV
Physician AssistantNV
-PA
-NV
Nurse PractitionerNV

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is DONG-YOUNG KIM (FNP) identified in CMS data?
CMS-hosted NPPES data lists DONG-YOUNG KIM (FNP) with NPI 1912414731.
Does CMS list DONG-YOUNG KIM (FNP) as active?
Yes — DONG-YOUNG KIM (FNP) is active in the NPI listing used on this page.
What healthcare role does DONG-YOUNG KIM (FNP) hold?
Scheduling teams often label DONG-YOUNG KIM (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does DONG-YOUNG KIM (FNP) serve?
DONG-YOUNG KIM (FNP)'s listing highlights Fallon, Nevada; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

MISS JANET LEIGH PHILLIPS (FNP)

Family Nurse Practitioner
Rio Vista Drive, Fallon, Churchill County, Nevada, 89406, United States
NPI: 1457436594

MS. LEA A. SHIVLEY (ARNP-C)

Family Nurse Practitioner
1001, Rio Vista Drive, Fallon, Churchill County, Nevada, 89406, United States
NPI: 1659582260
1665 OLD HOT SPRINGS RD STE 157
NPI: 1124362488

MS. LILLIAN MORTON (APRN)

Family Nurse Practitioner
75 PRINGLE WAY STE 801
NPI: 1114331527

MRS. ASHLEY CHRISTINE RESAVY (FNP-C)

Family Nurse Practitioner
560 E Williams Ave
NPI: 1235547514

MS. TAMI LYNNETTE PRIOR

Family Nurse Practitioner
639 Isbell Rd Ste 380
NPI: 1598131211

MS. KATHLEEN ANN PATTERSON (FNP-C)

Family Nurse Practitioner
560, East Williams Avenue, Fallon, Churchill County, Nevada, 89406, United States
NPI: 1407370265

KHARA BOND

Family Nurse Practitioner
801 E Williams Ave
NPI: 1386113314

Renown Health Medical Group

Internal Medicine Physician
1155 MILL ST # M14
NPI: 1851862288