Kim Elizabeth Pruess Nevins, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00038616 Issued in WA

Practice address

450 NW Gilman Blvd
Suite 301a
Issaquah, WA 98027-2483

Phone

(425) 391-0313

Fax

(425) 837-8501

NPI assigned

Jan 18, 2006

Last updated

May 31, 2011By the provider in NPPES

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Tufts University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians

Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Swedish Issaquah Hospital, Issaquah, WA, CCN 500152
• Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051
• Swedish Medical Center Hospital, Seattle, WA, CCN 500027
• Snoqualmie Valley Hospital Hospital, Snoqualmie, WA, CCN 501338

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpruessnevins1042982@wm.providencedirect.org

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.

• Swedish Health Services

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1831139724

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Kim Pruess Nevins MD PLLC

  • Internal Medicine Physician
  • Issaquah, WA
  • NPI 1255311122
  NPD (past) Authorized official
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Swedish Health Services

  • Physical Therapist
  • Seattle, WA
  • NPI 1619680840
  NPD
• Issaquah Internal Medicine Associates, PLLC

  dba Vicki Rouillard M.D.

  • Internal Medicine Physician
  • Issaquah, WA
  • NPI 1699755652
  NPD (past)

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

• Overlake Medical Center & Clinics

  • General Acute Care Hospital
  • Bellevue, WA
  • NPI 1598971855
  Care Compare affiliation
• Overlake Medical Center & Clinics

  • General Acute Care Hospital
  • Bellevue, WA
  • NPI 1861432726
  Care Compare affiliation
• Public Hospital District No 4 King County Washington

  dba Snoqualmie Valley Hospital

  • Critical Access Hospital
  • Snoqualmie, WA
  • NPI 1902846546
  Care Compare affiliation
• Swedish Health Services

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1306992151
  Care Compare affiliation
• Swedish Health Services

  dba Swedish/Issaquah

  • General Acute Care Hospital
  • Issaquah, WA
  • NPI 1851686059
  Care Compare affiliation

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1982684833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1225",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980270047",
            "telephone_number": "425-391-0313",
            "fax_number": "425-837-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NW GILMAN BLVD",
            "address_2": "SUITE 301A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272483",
            "telephone_number": "425-391-0313",
            "fax_number": "425-837-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUESS NEVINS",
        "first_name": "KIM",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00038616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L & I",
            "identifier": "0160710",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110235772",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1116037",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "6232PR",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Proliance Surgeons, Inc., P.S. (Proliance Advanced Imaging Center)
• Proliance Surgeons, Inc., P.S. (Athena Women's Health)
• Proliance Surgeons, Inc., P.S. (Issaquah Surgery Center)
• Cheyanne Prominski, MSW
• Providence Health & Services Washington (Providence Marianwood)
• Misty Leigh Pruner, OTR
• Jennifer Ann Puckett, PHARMD
• Puget Sound Specialty Physicians PLLC (Ankle and Foot Specialists of Issaquah)
• Michele C Pulling, MD
• Jamie Rye Anne Pumpian, DPT

• Internal Medicine Physician in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.