HYOEUN KIM – Primary Care Nurse Practitioner, NPI 1124650387
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,508 NURSE PRACTITIONER in NJ
Provider Addresses for HYOEUN KIM
402 LIVINGSTON CT
EDGEWATER, NJ 070201639
Phone: (201) 679-3682
Type: Mailing
150 BERGEN ST
NEWARK, NJ 071032496
Phone: (973) 972-4300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $908.
Total Amount is formed as General ($908) + Research ($0) + Ownership ($0) = $908.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Boston Scientific Corporation ($823).
Total Amount
$908
General + Research + Ownership
Payments
7
Total payment records
General Amount
$908
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $823 |
| Impulse Dynamics (USA) Inc. | $45 |
| BIOTRONIK INC. | $40 |
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: 2020-08-27
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 |
|---|---|---|---|---|
| I20200827000308 | I | Nurse Practitioner | NJ | 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 07020)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | NJ | |
| Nurse Practitioner | NJ | |
| P O D I A T R Y | NY | |
| - | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | ME | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ |
Reviews
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