MR. ANDREW ALEXANDER JR. KIM (DNP, CRNA) – Critical Care Medicine Registered Nurse, NPI 1003516659
Critical Care Medicine Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,281 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX
Provider Addresses for MR. ANDREW ALEXANDER JR. KIM (DNP, CRNA)
12222 Merit Dr Ste 600
Dallas, TX 752513294
Phone: (972) 715-5000
Fax: (972) 715-9976
Type: Location
7901 4TH ST N STE 4000
ST PETERSBURG, FL 337024305
Phone: (478) 321-7969
Type: Mailing
7901 4TH ST N
STE 300
ST. PETERSBURG, FL 33702
Phone: (478) 321-7969
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: 2025-10-13
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 |
|---|---|---|---|---|
| I20250708002183 | I | Certified Registered Nurse Anesthetist (Crna) | NC | TBD |
| I20251013004109 | I | Certified Registered Nurse Anesthetist (Crna) | TX | 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 75251)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Internal Medicine | NC | |
| Cardiovascular Disease (Cardiology) | NC | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Certified Registered Nurse Anesthetist (Crna) | NC |
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