Chrisselle Kim, AGNP-C - Medicare Nurse Practitioner in Englewood, NJ

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Chrisselle Kim, AGNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Englewood, New Jersey. Her current practice location is 350 Engle St Fl 6, Englewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 568-5250.

Chrisselle Kim is licensed to practice in New Jersey (license number 26NJ14901100) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477336998.

Contact Information

Chrisselle Kim, AGNP-C
350 Engle St Fl 6,
Englewood, NJ 07631-1808
(201) 568-5250
Not Available

Map and Direction




Provider's Profile

Full NameChrisselle Kim
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location350 Engle St Fl 6, Englewood, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477336998
  • Provider Enumeration Date: 08/17/2023
  • Last Update Date: 05/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8123475761
  • Enrollment ID: I20231103001450

Medical Identifiers

Medical identifiers for Chrisselle Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477336998NPI-NPPES
0981729MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 26NJ14901100 (New Jersey)Primary

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. Chrisselle Kim allows following entities to bill medicare on her behalf.
Entity NameMedical Associates Of Englewood Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952681918
PECOS PAC ID: 1355512252
Enrollment ID: O20110927000020
Entity NameBct Medical Associates.llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184036717
PECOS PAC ID: 3779867957
Enrollment ID: O20170307002354

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. Chrisselle 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 AddressPractice Location Address
Chrisselle Kim, AGNP-C
428b 10th St,
Palisades Park, NJ 07650-2323

Ph: (917) 969-0347		Chrisselle Kim, AGNP-C
350 Engle St Fl 6,
Englewood, NJ 07631-1808

Ph: (201) 568-5250

Reviews and Comments


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Dr. Jaime Luis Betancourt, DNP, MPH, APN
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Kristofferson M Pineda, ANP - BC
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Phone: 201-894-3202    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.