Individual provider Active NPI

Minsun Kim, NP

  • Family Nurse Practitioner
  • Linton, IN
National Provider Identifier
1205225554
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005234A Issued in IN
Practice address
1569 A St NE
Linton, IN 47441-1607
Phone
(812) 846-3380
NPI assigned
Jan 9, 2015
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71005234A IN
Family Nurse Practitioner 363LF0000X 71005234A IN Primary

Addresses

Primary practice location

1569 A St NE
Linton, IN 47441-1607

Mailing address

606 E Walnut St
Robinson, IL 62454-3423
Phone (812) 229-0710

Other practice location 1

520 S 7th St
Vincennes, IN 47591-1038
Phone (812) 885-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20150112001154 IN Practitioner - Nurse Practitioner 2668796137 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2133 S State Rd
Suite 46
Terre Haute, IN 47803-9781
Phone (812) 232-0564

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince May 23, 2023 Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Aug 8, 2023 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 23, 2023 Accepting new patients
Midwest Emergency Medicine, Inc. CurrentSince Aug 15, 2018 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Aug 8, 2023 Accepting new patients

Locations

1206 E National Ave
Brazil, IN 47834
Phone (812) 442-2480

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

1569 A St NE
Linton, IN 47441
Phone (812) 846-3380

211 US Highway 66 E
Tell City, IN 47586
Phone (812) 722-4380

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

520 S 7th St
Unit Er
Vincennes, IN 47591
Phone (812) 885-3292

Interoperability endpoints

  • Direct secure messaging: mkim@unionhealth.cernerdirect.com
  • Direct secure messaging: mkim27965@ehrdirect.uhhospitals.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1205225554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E WALNUT ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624543423",
            "telephone_number": "812-229-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 A ST NE",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474411607",
            "telephone_number": "812-846-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911038",
            "country_code": "US",
            "telephone_number": "812-885-3810",
            "fax_number": "812-885-3811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "MINSUN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005234A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005234A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linton, IN

Sources for this page

Verify at the official NPI Registry.