Min Kim, NP - Medicare Nurse Practitioner in Lancaster, CA

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Min Kim, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lancaster, California. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Exer Medical Corporation, Ehab Yacoub Md Inc, Anvar Medical Group and her current practice location is 43322 Gingham Ave, Lancaster, California. You can reach out to her office (for appointments etc.) via phone at (661) 874-4050.

Min Kim is licensed to practice in California (license number 95017412) 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 1053088849.

Contact Information

Min Kim, NP
43322 Gingham Ave,
Lancaster, CA 93535-4576
(661) 874-4050
Not Available

Map and Direction




Provider's Profile

Full NameMin Kim
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location43322 Gingham Ave, Lancaster, California
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:
  • Min Kim graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1053088849
  • Provider Enumeration Date: 08/27/2021
  • Last Update Date: 05/07/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1850778176
  • Enrollment ID: I20220506000649

Medical Identifiers

Medical identifiers for Min Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053088849NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95017412 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95017412 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Exer Medical Corporation9032359534336
Ehab Yacoub Md Inc5092099523179
Anvar Medical Group42848754517

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. Min Kim allows following entities to bill medicare on her behalf.
Entity NameSomagen Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396058137
PECOS PAC ID: 1557530151
Enrollment ID: O20110817000276
Entity NameExer Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588901532
PECOS PAC ID: 9032359534
Enrollment ID: O20130705000153
Entity NameAnvar Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831539485
PECOS PAC ID: 4284875451
Enrollment ID: O20130731000072
Entity NameEhab Yacoub MD Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417373713
PECOS PAC ID: 5092099523
Enrollment ID: O20170301002071

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. Min 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
Min Kim, NP
8944 Rathburn Ave,
Northridge, CA 91325-2749

Ph: (213) 842-6268		Min Kim, NP
43322 Gingham Ave,
Lancaster, CA 93535-4576

Ph: (661) 874-4050

Reviews and Comments


Nurse Practitioner Nurses in Lancaster, CA

Gabriela Gorostieta, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 43535 17th St W Ste 402, Lancaster, CA 93534
Phone: 818-239-9530    
Christina Garst,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 415 East Avenue I, Lancaster, CA 93535
Phone: 661-522-6770    
Shalonte Allen-carrasquillo, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 43322 Gingham Ave, Lancaster, CA 93535
Phone: 661-874-4050    
Jill Diane Jepson, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 44151 15th St W, Suite 101, Lancaster, CA 93534
Phone: 661-902-5600    
Gigi Hammang, MSN, RNC, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 547 W Lancaster Blvd, Lancaster, CA 93534
Phone: 661-729-8655    
Martin Vasquez,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1600 W Avenue J, Lancaster, CA 93534
Phone: 661-949-5000    
Margaret Louise Mcilroy, DNP APRN CNM PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 506 W Jackman St, Lancaster, CA 93534
Phone: 661-726-2850    Fax: 661-726-2854

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.