JU HYUNG KIM (ANP) – Nurse Practitioner, NPI 1295065308
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for JU HYUNG KIM (ANP)
265 BROOKVIEW CENTRE WAY STE 203
KNOXVILLE, TN 379194053
Phone: (865) 500-1353
Type: Mailing
555 HIGHLAND AVE
MILFORD, MI 483811517
Phone: (248) 685-1460
Type: Location
South First Capitol Drive, Saint Charles, Saint Charles County, Missouri, 63303, United States
SAINT CHARLES, MO 633012844
Phone: (314) 317-0600
Fax: (314) 317-0606
Type: Location
12125, Woodcrest Executive Drive, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SUITE 220
SAINT LOUIS, MO 631415001
Phone: (314) 317-0600
Fax: (314) 317-0606
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $153.
Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Kiniksa Pharmaceuticals International, plc ($57).
Total Amount
$153
General + Research + Ownership
Payments
8
Total payment records
General Amount
$153
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-11-20
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 |
|---|---|---|---|---|
| I20140122000005 | I | Nurse Practitioner | DC | TBD |
| I20251120001673 | I | Nurse Practitioner | MI | 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 37919)
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