Mina Soonmee Kim, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

836021 Issued in NV

Practice address

9010 W Cheyenne Ave
Las Vegas, NV 89129-8932

Phone

(702) 240-8646

Fax

(702) 240-0206

NPI assigned

Jun 13, 2023

Sex

Female

Sole proprietor

Yes

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 NV, CA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shasta Regional Medical Group IncGroup PAC ID 5991861353, 32 clinicians

Nevada Acute Medical Services-Scherr 1 PCGroup PAC ID 6103101738, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
• Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
• Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA

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.

• Nevada Acute Medical Services-Scherr 1 PC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1992244438
  Medicare reassignment Care Compare group NPD
• Shasta Regional Medical Group Inc

  • Hospitalist Physician
  • Redding, CA
  • NPI 1396990545
  Medicare reassignment Care Compare group NPD
• Dana Forte D O LTD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1649209420
  Medicare reassignment NPD
• Orna Gil MD Inc

  • Obstetrics & Gynecology Physician
  • Redding, CA
  • NPI 1588134423
  NPD
• Shasta Regional Medical Group, Inc

  • Family Medicine Physician
  • Weed, CA
  • NPI 1588048680
  NPD

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

• Sunrise Mountainview Hospital, Inc.

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1104870187
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  Care Compare affiliation
• Prime Healthcare Services - Shasta LLC

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1205089026
  Care Compare affiliation

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1821772500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298932",
            "telephone_number": "702-240-8646",
            "fax_number": "702-240-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298932",
            "telephone_number": "702-240-8646",
            "fax_number": "702-240-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MINA",
        "middle_name": "SOONMEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "836021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kim
• Michelle Kim
• Mijung Kim, NURSE PRACTITIONER
• Min Kyu Kim, DMD
• Min S Kim, DMD
• Myong Wook Kim
• Nanyong Kim
• Nicole Kim
• Nicole Kim
• Paul Pyoungkang Kim, MD

• 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 Jul 6, 2023; 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.