Michelle Jay Kim, NP - Medicare Nurse Practitioner in Palos Verdes Peninsula, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Palos Verdes Peninsula
Michelle Jay Kim, NP is a medicare enrolled "Nurse Practitioner - Family" in Palos Verdes Peninsula, California. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Exer Medical Corporation and her current practice location is 4020 Montaigne Way, Palos Verdes Peninsula, California. You can reach out to her office (for appointments etc.) via phone at (310) 710-5179.

Michelle Jay Kim is licensed to practice in California (license number 23796) 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 1962839258.

Contact Information

Michelle Jay Kim, NP
4020 Montaigne Way,
Palos Verdes Peninsula, CA 90274-3940
(310) 710-5179
Not Available

Map and Direction




Provider's Profile

Full NameMichelle Jay Kim
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location4020 Montaigne Way, Palos Verdes Peninsula, California
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:
  • Michelle Jay Kim graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1962839258
  • Provider Enumeration Date: 10/01/2013
  • Last Update Date: 10/01/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1658594973
  • Enrollment ID: I20140513002341

Medical Identifiers

Medical identifiers for Michelle Jay Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962839258NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 23796 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Exer Medical Corporation9032359534248

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. Michelle Jay Kim allows following entities to bill medicare on her behalf.
Entity NameProvidence Facey Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710031588
PECOS PAC ID: 3173436276
Enrollment ID: O20031105000822
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NamePih Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609233899
PECOS PAC ID: 8426951328
Enrollment ID: O20040128001177
Entity NameExer Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588901532
PECOS PAC ID: 9032359534
Enrollment ID: O20130705000153

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. Michelle Jay 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
Michelle Jay Kim, NP
4020 Montaigne Way,
Palos Verdes Peninsula, CA 90274-3940

Ph: (310) 710-5179		Michelle Jay Kim, NP
4020 Montaigne Way,
Palos Verdes Peninsula, CA 90274-3940

Ph: (310) 710-5179

Reviews and Comments


Nurse Practitioner Nurses in Palos Verdes Peninsula, CA


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.