Mija Kim

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP029516 Issued in PA

Practice address

200 Stoops Dr
Monongahela, PA 15063-3552

Phone

(724) 310-1111

NPI assigned

Mar 27, 2024

Last updated

Mar 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CH Specialty Services PA PCGroup PAC ID 2567827157, 75 clinicians

Curana Health of Pennsylvania PCGroup PAC ID 6507246345, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ospta Hospice Hospice, Belle Vernon, PA, CCN 391766

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Curana Health of Pennsylvania PC

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1679205876
  Medicare reassignment Care Compare group NPD
• CH Specialty Services PA PC

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1295438547
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ospta Home, LLC

  • Home Health Agency
  • Rostraver Township, PA
  • NPI 1164485777

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1174374391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 GLENCOE CT",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681018",
            "telephone_number": "412-609-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STOOPS DR",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633552",
            "telephone_number": "724-310-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MIJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Anne Kassa, RDN, MS, CDN
• Amanda Kevech, PTA
• Keystone Rehabilitation Systems Inc (Keystone Physical Therapy)
• Kidney Disease and Hypertension Associates, Inc.
• William Ford Kilpatrick, MD
• Alison Kolano, PT
• Randall Komacko, P.T.
• Stephanie M Koontz, PHARMD
• Kristen Elizabeth Kotsenas, PHARMD
• Nirmal Kotwal, MD

• Family Nurse Practitioner in Monongahela, PA
• Providers in Monongahela, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.