MS. ANNE KIM (MSN, RN, AGACNP-BC) – Nurse Practitioner, NPI 1003287236
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. ANNE KIM (MSN, RN, AGACNP-BC)
1 COOPER PLZ
CAMDEN, NJ 081031461
Phone: (856) 968-7449
Type: Location
1 FEDERAL ST # 200
CAMDEN, NJ 081031088
Phone: (856) 356-4924
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $15 |
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: 2023-02-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160202000502 | I | Nurse Practitioner | NJ | TBD |
| I20230204000075 | I | Nurse Practitioner | PA | 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 08103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Critical Care (Intensivists), Nephrology | AZ | |
| Nurse Practitioner | NJ | |
| Nephrology, Internal Medicine | NJ | |
| Nephrology, Internal Medicine | NJ | |
| Critical Care (Intensivists), Hospitalist, Critical Care (Intensivists) | NJ | |
| Nurse Practitioner | NJ | |
| - | NJ | |
| N E P H R O L O G Y | NJ |
Reviews
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