YANA KIM – Acute Care Nurse Practitioner, NPI 1548919004

YANA KIM is a healthcare provider. based in Arlington, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1073115 (TX). The NPI Number for YANA KIM is 1548919004

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
YANA KIM
NPI
1548919004
Phone
(682) 509-6200
Address
3301 Matlock Rd
Enumeration Date
22 March 2022
Last Update Date
22 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2145029771
Graduation Year
2021 (5 years ago)
PAC ID
4880072925
Group Practice PAC ID
2466616032
Professional Enrollment ID
I20220602000741
Address ID
TX751504048ME3160XRDXX400

Contacts

Other Endpoint
Meditech
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for YANA KIM

  • 3301 Matlock Rd

    Arlington, TX 760152908

    Phone: (682) 509-6200

    Type: Location

  • 1432 Meadow Vista Dr

    Carrollton, TX 750076047

    Phone: (702) 985-7789

    Type: Location

  • 1432 MEADOW VISTA DR

    CARROLLTON, TX 750076047

    Phone: (702) 985-7789

    Type: Mailing

  • 3301 MATLOCK RD

    ARLINGTON, TX 760152908

    Phone: (682) 509-6200

    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: 2022-06-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220602000741INurse PractitionerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3217$0
View full utilization report →

Insurance plans in this area (ZIP 76015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466616032View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Sports Medicine, Physical Medicine And RehabilitationTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Physical Medicine And Rehabilitation, Addiction MedicineTX

Reviews

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Frequently asked questions

How do I look up YANA KIM by NPI?
Use NPI 1548919004 when you need to reference YANA KIM in forms, claims, or directories.
Is YANA KIM active in the national directory?
YANA KIM's public NPI profile is in an active state.
What kind of provider is YANA KIM?
The page reflects Acute Care Nurse Practitioner for YANA KIM. Clinical services aligned with this taxonomy classification.
What location shows for YANA KIM?
We surface Arlington, Texas for YANA KIM based on available NPPES addresses.
Is YANA KIM a real provider?
This page reflects official NPPES data for NPI 1548919004. Always confirm identity and privileges with the practice and licensing boards.

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