Ji Min Kim, - Medicare Nurse Practitioner in Chicago, IL

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Ji Min Kim, is a medicare enrolled "Nurse Practitioner - Gerontology" in Chicago, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rush University Medical Center and her current practice location is 259 E Erie St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 695-4517.

Ji Min Kim is licensed to practice in Illinois (license number 209014282) 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 1073960399.

Contact Information

Ji Min Kim,
259 E Erie St,
Chicago, IL 60611-2987
(312) 695-4517
Not Available

Map and Direction




Provider's Profile

Full NameJi Min Kim
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location259 E Erie St, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ji Min Kim attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2015
  NPI Data:
  • NPI Number: 1073960399
  • Provider Enumeration Date: 05/17/2016
  • Last Update Date: 11/02/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5395038129
  • Enrollment ID: I20160801001436

Medical Identifiers

Medical identifiers for Ji Min Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073960399NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 209014282 (Illinois)Secondary
363LG0600XNurse Practitioner - Gerontology 209014282 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rush University Medical CenterChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rush University Medical Center5496658874997

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. Ji Min Kim allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameRush University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093819542
PECOS PAC ID: 5496658874
Enrollment ID: O20040202000228
Entity NameNorthshore University Healthsystem Faculty Practice Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118
Entity NameRush Oak Park Er Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447260880
PECOS PAC ID: 8820190606
Enrollment ID: O20070226000187

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. Ji Min 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
Ji Min Kim,
680 N Lake Shore Dr,
Chicago, IL 60611-4546

Ph: (312) 695-6868		Ji Min Kim,
259 E Erie St,
Chicago, IL 60611-2987

Ph: (312) 695-4517

Reviews and Comments


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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.