Individual provider Active NPI

Hochung Kim, FNP-BC, DNP

  • Family Nurse Practitioner
  • Carbondale, IL
National Provider Identifier
1912765496
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209033694 Issued in IL
Practice address
2250 Reed Station Pkwy
Carbondale, IL 62901-8101
Phone
(618) 457-4999
NPI assigned
Mar 11, 2024
Last updated
Apr 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041497078 IL
Family Nurse Practitioner 363LF0000X 209033694 IL Primary

Addresses

Primary practice location

2250 Reed Station Pkwy
Carbondale, IL 62901-8101

Mailing address

2250 Reed Station Pkwy Ste 305
Carbondale, IL 62901-8104
Phone (618) 457-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20251203003491 IL Practitioner - Nurse Practitioner 2163915513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hanson Medical Services PLLCGroup PAC ID 5890210520, 3 clinicians
Rubicon Healthcare IncGroup PAC ID 1951899137, 3 clinicians

Practice addresses (Care Compare)

2250 Reed Station Pkwy
Carbondale, IL 62901-8101
Phone (618) 457-4999

2250 Reed Station Pkwy
Suite 305
Carbondale, IL 62901-8104
Phone (618) 457-4999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041497078ILMDRegistered Nurse
209033694ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hanson Medical Services PLLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

2250 Reed Station Pkwy
Carbondale, IL 62901
Phone (618) 457-4999

2250 Reed Station Pkwy
Ste 305
Carbondale, IL 62901
Phone (618) 457-4999

Interoperability endpoints

  • Direct secure messaging: hkim37613@sih.direct-ci.com

Organizations & group practices 2

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1912765496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 REED STATION PKWY STE 305",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629018104",
            "telephone_number": "618-457-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 REED STATION PKWY",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629018101",
            "telephone_number": "618-457-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HOCHUNG",
        "credential": "FNP-BC, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041497078",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209033694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.