Ellie Kim, - Medicare Nurse Practitioner in Stanford, CA

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Ellie Kim, is a medicare enrolled "Nurse Practitioner" in Stanford, California. Her current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to her office (for appointments etc.) via phone at (650) 723-4000.

Ellie Kim is licensed to practice in California (license number 95030628) 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 1619695608.

Contact Information

Ellie Kim,
300 Pasteur Dr,
Stanford, CA 94305-2200
(650) 723-4000
Not Available

Map and Direction




Provider's Profile

Full NameEllie Kim
GenderFemale
SpecialityNurse Practitioner
Location300 Pasteur Dr, Stanford, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619695608
  • Provider Enumeration Date: 08/16/2022
  • Last Update Date: 08/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496128084
  • Enrollment ID: I20230301002453

Medical Identifiers

Medical identifiers for Ellie Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619695608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care F432349-01 (New York)Secondary
363L00000XNurse Practitioner 95030628 (California)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. Ellie Kim allows following entities to bill medicare on her behalf.
Entity NameMemorial Medical Consultation Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053382523
PECOS PAC ID: 6406755081
Enrollment ID: O20040102000372
Entity NameMemorial Radiation Oncology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235109224
PECOS PAC ID: 8527957091
Enrollment ID: O20040312000532
Entity NameMemorial Neurology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538130190
PECOS PAC ID: 4688563000
Enrollment ID: O20040313000171
Entity NameMemorial Dermatology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235100793
PECOS PAC ID: 1557250818
Enrollment ID: O20040313000580
Entity NameMemorial Solid Tumor Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699746172
PECOS PAC ID: 4082503354
Enrollment ID: O20040313000668
Entity NameMemorial Developmental Chemo Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912978487
PECOS PAC ID: 5395636419
Enrollment ID: O20040320000110
Entity NameMskcc Surgery Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699766261
PECOS PAC ID: 0345131405
Enrollment ID: O20040320000446
Entity NameMemorial Urgent Care Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053364539
PECOS PAC ID: 6507878675
Enrollment ID: O20060608000286

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. Ellie 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
Ellie Kim,
300 Pasteur Dr,
Stanford, CA 94305-2200

Ph: (650) 723-4000		Ellie Kim,
300 Pasteur Dr,
Stanford, CA 94305-2200

Ph: (650) 723-4000

Reviews and Comments


Nurse Practitioner Nurses in Stanford, CA

Angie Dee Murkins, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Pasteur Dr, Stanford, CA 94305
Phone: 650-723-4000    
Gloria Le Choi, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Pasteur Dr, Stanford, CA 94305
Phone: 650-723-4000    
Mrs. Joi Mei Soucy, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Pasteur Dr, Stanford, CA 94305
Phone: 650-723-4000    
Olinda Su Mar, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Pasteur Dr, Stanford, CA 94305
Phone: 650-723-4000    
Laura Lynne Asaro, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 875 Blake Wilbur Dr, Clinic D, Stanford, CA 94305
Phone: 650-723-6197    
Nancy S. Brook, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Pasteur Dr, Stanford, CA 94305
Phone: 650-498-7103    
Mr. Richard Quitevis, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 300 Pasteur Dr, Stanford, CA 94305
Phone: 650-724-2906    

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.