YUN MI KIM – Psychiatric/Mental Health Nurse Practitioner, NPI 1750938288
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for YUN MI KIM
600 EVERGREEN DR STE 103
GLEN MILLS, PA 193421053
Phone: (610) 892-3800
Type: Mailing
257 W Cayuga St
Philadelphia, PA 191402439
Phone: (267) 368-6953
Type: Location
257 W CAYUGA ST
PHILADELPHIA, PA 191402439
Phone: (267) 368-6953
Type: Mailing
1001 BALTIMORE PIKE STE 9B
SPRINGFIELD, PA 190642862
Phone: (267) 368-6953
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $1,031.
Total Amount is formed as General ($1,031) + Research ($0) + Ownership ($0) = $1,031.
Last reported payment date: 2024-05-31 • Largest payer in this snapshot: ABBVIE INC. ($490).
Total Amount
$1,031
General + Research + Ownership
Payments
37
Total payment records
General Amount
$1,031
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $490 |
| ITI, Inc. | $217 |
| Otsuka America Pharmaceutical, Inc. | $217 |
| Takeda Pharmaceuticals U.S.A., Inc. | $52 |
| Axsome Therapeutics, Inc. | $32 |
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: 2020-02-05
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 |
|---|---|---|---|---|
| I20200205001314 | 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 19342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Mental Health Counselor | PA | |
| P S Y C H I A T R Y | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| Mental Health Counselor | PA | |
| Mental Health Counselor | PA | |
| - | PA | |
| - | PA | |
| Mental Health Counselor | PA |
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