Mira Kim, ARNP - Medicare Nurse Practitioner in Lansing, KS

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Mira Kim, ARNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Lansing, Kansas. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Leavenworth Family Health Center and her current practice location is 720 1st Ter, Lansing, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 682-5588.

Mira Kim is licensed to practice in Kansas (license number 53-74979-072) 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 1710212477.

Contact Information

Mira Kim, ARNP
720 1st Ter,
Lansing, KS 66043-1704
(913) 682-5588
(913) 682-2698

Map and Direction




Provider's Profile

Full NameMira Kim
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location720 1st Ter, Lansing, Kansas
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:
  • Mira Kim attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2009
  NPI Data:
  • NPI Number: 1710212477
  • Provider Enumeration Date: 10/13/2009
  • Last Update Date: 10/13/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 1850550567
  • Enrollment ID: I20120315000103

Medical Identifiers

Medical identifiers for Mira Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710212477NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 53-74979-072 (Kansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Leavenworth Family Health Center86289737403

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. Mira Kim allows following entities to bill medicare on her behalf.
Entity NameLeavenworth Family Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255446480
PECOS PAC ID: 8628973740
Enrollment ID: O20031203000159

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. Mira 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
Mira Kim, ARNP
12413 W 100th Pl,
Lenexa, KS 66215-1929

Ph: (913) 492-3484		Mira Kim, ARNP
720 1st Ter,
Lansing, KS 66043-1704

Ph: (913) 682-5588

Reviews and Comments


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Carol Diane Jackson, ARNP
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Jana Harris, DNP, FNP-BC
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Phone: 913-680-8990    Fax: 913-222-1646
Ashley Shea Flori, APRN FNP-BC
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Practice Location: 121 Oakbrook Ct, Lansing, KS 66043
Phone: 850-867-0691    

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.