Hyun Ji Kim, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Puyallup, Washington. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Rainier Anesthesia Associates Pc and her current practice location is
400 E Pioneer Ste 101, Puyallup, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 445-5828.
Hyun Ji Kim is licensed to practice in Washington (license number AP61564724) 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 1780454611.
Provider's Profile
| Full Name | Hyun Ji Kim |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 1 Years |
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| Location | 400 E Pioneer Ste 101, Puyallup, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Hyun Ji Kim graduated from nursing school in 2024
NPI Data:
- NPI Number: 1780454611
- Provider Enumeration Date: 01/02/2024
- Last Update Date: 08/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 3678019429
- Enrollment ID: I20240729001998
Medical Identifiers
Medical identifiers for Hyun Ji Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780454611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | AP61564724 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rainier Anesthesia Associates Pc | 4284523499 | 64 |
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. Hyun Ji Kim allows following entities to bill medicare on her behalf.
| Entity Name | Rainier Anesthesia Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487637013
PECOS PAC ID: 4284523499
Enrollment ID: O20040315000756 |
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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. Hyun Ji 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 Address | Practice Location Address |
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Hyun Ji Kim,
400 E Pioneer Ste 101,
Puyallup, WA 98372-3256
Ph: () - | Hyun Ji Kim,
400 E Pioneer Ste 101,
Puyallup, WA 98372-3256
Ph: (253) 445-5828 |
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