Individual provider Active NPI

Kimberly Hsu

  • Adult Health Nurse Practitioner
  • Elmhurst, NY
National Provider Identifier
1316593718
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310434 Issued in NY
Practice address
8708 Justice Ave Apt 1K
Elmhurst, NY 11373-4576
Phone
(718) 507-8866
NPI assigned
Aug 13, 2019
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310434 NY Primary
Registered Nurse 163W00000X 764014 NY

Addresses

Primary practice location

8708 Justice Ave Apt 1K
Elmhurst, NY 11373-4576

Mailing address

8708 Justice Ave Apt 1K
Elmhurst, NY 11373-4576
Phone (718) 507-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20211207001786 NY Practitioner - Nurse Practitioner 7719377647 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

95 -25 Queens Boulevard
Rego Park, NY 11374-4510
Phone (718) 925-6565

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
764014NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 14, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 1, 2022 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 1, 2022 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Sep 1, 2024 Accepting new patients
Elmhurst Queens Gastroenterology and Hepatology Medical Consultant P.C CurrentSince Nov 18, 2021 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jul 14, 2024 Accepting new patients
Chuansheng Wang Medical PC CurrentSince Sep 28, 2025 Accepting new patients
Eighth Avenue Anesthesia PLLC PastSince Nov 18, 2021 Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

8708 Justice Ave
Ste C6
Elmhurst, NY 11373
Phone (646) 286-6921

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

227 Madison St
New York, NY 10002
Phone (212) 238-7000

50 Water St
Fl 3
New York, NY 10004

9525 Queens Blvd
Rego Park, NY 11374
Phone (718) 286-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: khsu1491242@nychhc.direct-ci.com
  • Direct secure messaging: khsu357818@northwell.direct-ci.com

Organizations & group practices 9

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 1

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1316593718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE APT 1K",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734576",
            "telephone_number": "718-507-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE APT 1K",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734576",
            "telephone_number": "718-507-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310434",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "764014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.