JI-YOUNG KIM (ARNP) – Nurse Practitioner, NPI 1164974978
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for JI-YOUNG KIM (ARNP)
916 Pacific Ave
Everett, WA 982014147
Phone: (425) 446-3000
Fax: (425) 446-3053
Type: Location
PO BOX 5127
EVERETT, WA 982065127
Phone: (425) 493-6000
Fax: (425) 493-6030
Type: Mailing
4410, 106th Street Southwest, Mukilteo, Snohomish County, Washington, 98275, United States
MUKILTEO, WA 98275
Phone: (425) 493-6000
Fax: (425) 493-6030
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: 2016-12-30
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 |
|---|---|---|---|---|
| I20161230000158 | I | Nurse Practitioner | WA | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 62 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 30 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 22 | 21 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 20 | 20 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 19 | 17 | $0 |
Insurance plans in this area (ZIP 98201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Psychiatry, Addiction Medicine | WA | |
| Psychiatry, Geriatric Psychiatry | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA |
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