Angela Kim, FNP-C in Brea, CA - Medicare Nurse Practitioner

Angela Kim, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Brea, California. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Foundation and her current practice location is 955 W Imperial Hwy Ste 100, Brea, California. You can reach out to her office (for appointments etc.) via phone at (714) 449-6900.

Angela Kim is licensed to practice in California (license number NP95005467) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528506383.

Contact Information

	Angela Kim, FNP-C
	955 W Imperial Hwy Ste 100, Brea, CA 92821-3814
	(714) 449-6900
	Not Available

Map and Direction

Provider's Profile

Full Name	Angela Kim
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	955 W Imperial Hwy Ste 100, Brea, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Angela Kim graduated from nursing school in 2011

NPI Data:

NPI Number: 1528506383
Provider Enumeration Date: 02/01/2017
Last Update Date: 11/05/2021

Medicare PECOS Information:

PECOS PAC ID: 5698048957
Enrollment ID: I20170907003042

Medical Identifiers

Medical identifiers for Angela Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528506383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95005467 (California)	Primary
363LF0000X	Nurse Practitioner - Family	65005467 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Jude Medical Center	Fullerton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela Kim allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Angela Kim, FNP-C 955 W Imperial Hwy Ste 100, Brea, CA 92821-3814 Ph: (714) 626-6343	Angela Kim, FNP-C 955 W Imperial Hwy Ste 100, Brea, CA 92821-3814 Ph: (714) 449-6900

Reviews and Comments

Nurse Practitioner Nurses in Brea, CA

Christine Villarosa, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 S State College Blvd Unit 156, Brea, CA 92821 Phone: 951-733-0084
Renee Pham, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 955 W Imperial Hwy Ste 200, Brea, CA 92821 Phone: 714-449-6000
Barbara Lynn Niklas, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 955 W Imperial Hwy Ste 200, Brea, CA 92821 Phone: 714-671-0766
Jae Woo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 955 W Imperial Hwy Ste 200, Brea, CA 92821 Phone: 714-449-6900
Rio Marie A. Calvert, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 910 E Birch St Ste 350, Brea, CA 92821 Phone: 949-933-4943
Sarah Grabarsky, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2315 E Imperial Hwy C123, Brea, CA 92821 Phone: 714-862-7792
Ms. Afsaneh Golshan Helali, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 Foothill Lane, Brea, CA 92821 Phone: 626-991-5217

Angela Kim, FNP-C - Medicare Nurse Practitioner in Brea, CA