Wanseung Kim, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

856178 Issued in NV

Practice address

3150 N Tenaya Way Ste 525
Las Vegas, NV 89128-0465

Phone

(725) 204-6520

NPI assigned

Sep 12, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Vincent Wanseung Kim Other name

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspire Medical Center LLCGroup PAC ID 0446699375, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wanseung.kim.1@28155.direct.athenahealth.com
• Direct secure messaging: wanseung.kim@482280370208772.direct.elationemr.com
• Direct secure messaging: wanseung.kim@747060700643332.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspire Medical Center LLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1851153027
  Medicare reassignment Care Compare group NPD
• Healthy Asians & Pacific Islanders Medical Center

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1326777194
  Medicare reassignment NPD
• Medtrans Medical Nevada Casal PLLC

  • Community Health Clinic/Center
  • Las Vegas, NV
  • NPI 1750846549
  Medicare reassignment NPD
• Meilan L Daguman Aprn PLLC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1023568037
  Medicare reassignment NPD
• Robert Todd Riggio MD PC

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1508687047
  Medicare reassignment
• Homebase Care Casal PLLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1942863253
  NPD
• Upbeat Health PLLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1851043467
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1104547769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5367 PEACOCK LILY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131267",
            "telephone_number": "702-218-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY STE 525",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280465",
            "telephone_number": "725-204-6520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2235 E Flamingo Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195152",
            "country_code": "US",
            "telephone_number": "702-760-0341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "WANSEUNG",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "856178",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN67339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VINCENT WANSEUNG",
            "last_name": "KIM",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas C. Kim, MD
• Tiffany Kim, PA-C
• Vanessa Kim, O.D.
• Victor Lee Kim, DO
• Vida Rose Kim, APRN, NP-C
• William Kim, M.D.
• Yealee Kim
• Yeii Kim
• Yeong W Kim, D.D.S
• Yeonsoo James Kim, M.D.

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.