Jessica Kim, MS, RDN, CD - Medicare Dietitian in Puyallup, WA

Jessica Kim, MS, RDN, CD is a medicare enrolled "Dietitian, Registered" provider in Puyallup, Washington. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Kaiser Foundation Health Plan Of Washington and her current practice location is 3912 10th St Se Ste 101, Puyallup, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 848-4700.

Jessica Kim is licensed to practice in Washington (license number DI60453724) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467879767.

Contact Information

Jessica Kim, MS, RDN, CD
3912 10th St Se Ste 101,
Puyallup, WA 98374-2188
(253) 848-4700
(253) 848-2284

Map and Direction




Healthcare Provider's Profile

Full NameJessica Kim
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience11 Years
Location3912 10th St Se Ste 101, Puyallup, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Kim graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1467879767
  • Provider Enumeration Date: 03/25/2014
  • Last Update Date: 03/25/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9931323698
  • Enrollment ID: I20140619000835

Medical Identifiers

Medical identifiers for Jessica Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467879767NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered DI60453724 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of Washington90320225791480

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Kim allows following entities to bill medicare on her behalf.
Provider NameKaiser Foundation Health Plan Of Washington
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Kim, MS, RDN, CD
Po Box 2170,
Sumner, WA 98390-0480

Ph: (253) 840-2313
Jessica Kim, MS, RDN, CD
3912 10th St Se Ste 101,
Puyallup, WA 98374-2188

Ph: (253) 848-4700

Reviews and Comments


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Phone: 253-848-4700    Fax: 253-848-2284

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.