Individual provider Active NPI

Misoon Kim, FNP

  • Family Nurse Practitioner
  • Catonsville, MD
National Provider Identifier
1578309795
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07240266 Issued in DE
Practice address
700 Geipe Rd Ste 204
Catonsville, MD 21228-4176
Phone
(410) 744-7184
Fax
(410) 744-1176
NPI assigned
Jul 8, 2024
Last updated
Feb 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07240266 DE Primary

Addresses

Primary practice location

700 Geipe Rd Ste 204
Catonsville, MD 21228-4176

Mailing address

700 Geipe Rd Ste 204
Catonsville, MD 21228-4176
Phone (410) 744-7184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240821002543 MD Practitioner - Nurse Practitioner 6901344951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians
Benjamin S. Lee, M.D., P.aGroup PAC ID 5597052225, 3 clinicians

Practice addresses (Care Compare)

103 N E PLZ
Union Primary Care North East
North East, MD 21901-3633
Phone (410) 287-5570

700 Geipe Rd
Suite 204
Catonsville, MD 21228-4176
Phone (410) 744-7184

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07240266DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County CurrentSince Sep 1, 2024 Accepting new patients
Union Hospital of Cecil County CurrentSince Sep 1, 2024 Accepting new patients

Locations

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

207 North St
Ste A
Elkton, MD 21921

103 North East Plz
North East, MD 21901
Phone (410) 287-5570

Organizations & group practices 3

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1578309795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GEIPE RD STE 204",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284176",
            "telephone_number": "410-744-7184",
            "fax_number": "410-744-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GEIPE RD STE 204",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284176",
            "telephone_number": "410-744-7184",
            "fax_number": "410-744-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MISOON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "F07240266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.