KIMMY KYUNG KWONG (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1710504253
Psychiatric/Mental Health Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for KIMMY KYUNG KWONG (APRN)
7005 S ESSEX COURT CIR UNIT 7
MIDVALE, UT 840471756
Phone: (801) 616-8068
Type: Mailing
4460 S HIGHLAND DR
SALT LAKE CITY, UT 841243543
Phone: (801) 616-8068
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $59.
Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.
Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Indivior Inc. ($38).
Total Amount
$59
General + Research + Ownership
Payments
3
Total payment records
General Amount
$59
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $38 |
| ACADIA Pharmaceuticals Inc | $21 |
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: 2020-10-20
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 |
|---|---|---|---|---|
| I20201020000618 | I | Nurse Practitioner | UT | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 579 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 14 | $0 |
Insurance plans in this area (ZIP 84047)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| Family Practice | UT | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| Clinical Social Worker | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| - | UT |
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