Nicholas Kim, NP-C - Medicare Nurse Practitioner in Phoenix, AZ

Nicholas Kim, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Center For Dermatology Pllc and his current practice location is 3104 E Indian School Rd Ste 100, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 266-0266.

Nicholas Kim is licensed to practice in Arizona (license number AP9542) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427507680.

Contact Information

Nicholas Kim, NP-C
3104 E Indian School Rd Ste 100,
Phoenix, AZ 85016-6873
(602) 266-0266
(602) 266-9757

Map and Direction




Provider's Profile

Full NameNicholas Kim
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location3104 E Indian School Rd Ste 100, Phoenix, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas Kim graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1427507680
  • Provider Enumeration Date: 09/29/2016
  • Last Update Date: 09/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5799063004
  • Enrollment ID: I20161020001095

Medical Identifiers

Medical identifiers for Nicholas Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427507680NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN180149 (Arizona)Secondary
363LF0000XNurse Practitioner - Family AP9542 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Center For Dermatology Pllc155735538564

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. Nicholas Kim allows following entities to bill medicare on his behalf.
Entity NameCenter For Dermatology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194792416
PECOS PAC ID: 1557355385
Enrollment ID: O20040413001574
Entity NameEnglish Dermatology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245659432
PECOS PAC ID: 4385867761
Enrollment ID: O20140604000450

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. Nicholas 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
Nicholas Kim, NP-C
2285 Corporate Cir Ste 200,
Henderson, NV 89074-7759

Ph: (702) 360-2763
Nicholas Kim, NP-C
3104 E Indian School Rd Ste 100,
Phoenix, AZ 85016-6873

Ph: (602) 266-0266

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.