REBECCA KIM (APRN) – Advanced Practice Midwife, NPI 1902396658

REBECCA KIM (APRN) is a healthcare provider. based in Tacoma wa, Washington. specializing in Advanced Practice Midwife. They hold the professional credentials APRN. They hold a License No. APRN.CNM.019388 (OH). The NPI Number for REBECCA KIM (APRN) is 1902396658

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA KIM (APRN)
NPI
1902396658
Phone
(253) 426-4694
Address
1708 S Yakima
Enumeration Date
17 May 2018
Last Update Date
20 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306844707
Graduation Year
2018 (8 years ago)
PAC ID
1153659446
Group Practice PAC ID
1759574015
Professional Enrollment ID
I20190823003214
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for REBECCA KIM (APRN)

  • 1708 S Yakima

    M-S 03-21

    Tacoma WA, WA 98405

    Phone: (253) 426-4694

    Type: Location

  • 100 Lillian Gish Blvd SW Ste 201

    Massillon, OH 446476500

    Phone: (510) 999-0098

    Type: Location

  • Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States

    CLEVELAND, OH 441950001

    Phone: (510) 999-0098

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($51).

Total Amount

$51

General + Research + Ownership

Payments

1

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2019-08-23

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
I20190823003214ICertified Nurse Midwife (Cnm)OHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98405)

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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: 1759574015View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)OH
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerSC

Reviews

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Frequently asked questions

How is REBECCA KIM (APRN) identified in CMS data?
CMS-hosted NPPES data lists REBECCA KIM (APRN) with NPI 1902396658.
Can I rely on REBECCA KIM (APRN) being an active provider?
As of the registry snapshot, REBECCA KIM (APRN) is marked active.
What is REBECCA KIM (APRN)'s primary classification?
Advanced Practice Midwife is the headline specialty for REBECCA KIM (APRN) here. Clinical services aligned with this taxonomy classification.
What area does REBECCA KIM (APRN) serve?
REBECCA KIM (APRN)'s listing highlights Tacoma Wa, Washington; more addresses can appear in NPPES.
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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