MRS. KALIS J KIM (NP) – Family Nurse Practitioner, NPI 1265088157
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
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Provider Addresses for MRS. KALIS J KIM (NP)
Moore's Quality Cleaners, 4825, Southwest 77th Avenue, Raleigh Hills, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972084825
Phone: (360) 882-2778
Fax: (360) 604-1771
Type: Mailing
Southeast 172nd Avenue, Vancouver, Clark County, Washington, 98683, United States
VANCOUVER, WA 986849542
Phone: (360) 882-2778
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2024-09-10
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 |
|---|---|---|---|---|
| I20191101001442 | I | Nurse Practitioner | WA | TBD |
| I20240910001127 | I | Nurse Practitioner | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 27 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 39 | 26 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 15 | 15 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 15 | 13 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 15 | 13 | $0 |
Insurance plans in this area (ZIP 97208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| Marriage And Family Therapist | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR |
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