GLORIA KIM (PMHNP-BC, FNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1366956278

GLORIA KIM (PMHNP-BC, FNP-BC) is a healthcare provider. based in Blacksburg, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC, FNP-BC. They hold a License No. 0024175625 (VA). The NPI Number for GLORIA KIM (PMHNP-BC, FNP-BC) is 1366956278

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
GLORIA KIM (PMHNP-BC, FNP-BC)
NPI
1366956278
Phone
(704) 340-7710
Address
112 Hearthstone Dr Apt 111
Enumeration Date
30 November 2017
Last Update Date
8 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8043786141304
Graduation Year
2017 (9 years ago)
PAC ID
4284996471
Group Practice PAC ID
8527253830
Professional Enrollment ID
I20180328001904
Address ID
VA232256972NO221XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for GLORIA KIM (PMHNP-BC, FNP-BC)

  • 112 Hearthstone Dr Apt 111

    Blacksburg, VA 240603590

    Phone: (704) 340-7710

    Type: Location

  • 700 University City Blvd

    Blacksburg, VA 240602706

    Phone: (540) 961-8300

    Fax: (540) 961-8465

    Type: Location

  • New River Valley Community Services, 700, University City Boulevard, Longview Estates, McBryde Village, Blacksburg, Montgomery County, Virginia, 24060, United States

    BLACKSBURG, VA 240602706

    Phone: (540) 961-8300

    Fax: (540) 961-8465

    Type: Mailing

  • 5360 DISCOVERY PARK BLVD

    WILLIAMSBURG, VA 231882860

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 224 Open Payments records for all available years, with a total value of $3,493.

Total Amount is formed as General ($3,493) + Research ($0) + Ownership ($0) = $3,493.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($681).

Total Amount

$3,493

General + Research + Ownership

Payments

224

Total payment records

General Amount

$3,493

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-03-28

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
I20180328001904INurse PractitionerVATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4922$0
View full utilization report →

Insurance plans in this area (ZIP 24060)

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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: 8527253830View full group profile
NameSpecialtyState
Nurse PractitionerVA
Clinical PsychologistVA
P S Y C H I A T R YVA
Clinical PsychologistVA
Nurse PractitionerVA
Clinical PsychologistVA
Nurse PractitionerVA
Nurse PractitionerVA
Clinical PsychologistVA

Reviews

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Frequently asked questions

Can I verify GLORIA KIM (PMHNP-BC, FNP-BC) with an NPI only?
You can start verification with NPI 1366956278 for GLORIA KIM (PMHNP-BC, FNP-BC), then check state licensing separately.
Does the file indicate GLORIA KIM (PMHNP-BC, FNP-BC) is practicing under active NPI?
Directory data currently reports GLORIA KIM (PMHNP-BC, FNP-BC) as active.
What healthcare role does GLORIA KIM (PMHNP-BC, FNP-BC) hold?
Scheduling teams often label GLORIA KIM (PMHNP-BC, FNP-BC) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is GLORIA KIM (PMHNP-BC, FNP-BC) based?
GLORIA KIM (PMHNP-BC, FNP-BC) is tied to Blacksburg, Virginia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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