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Active NPI 1023742756 Individual Practitioner Female Practitioner

Jiyeon Kim , NP

Nurse Practitioner • Holt, MI

Professional Overview & Biography Verified Profile Summary

Jiyeon Kim, NP is a certified Nurse Practitioner practicing in Holt, MI. With approximately 4 years of clinical experience since completing medical education in 2022, Jiyeon Kim delivers high-quality medical care to the local community at 2380 CEDAR ST STE 100.

Jiyeon Kim does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2380 Cedar St Ste 100

Holt, MI 488422210

Telephone 5177424900

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Holt, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -2.0 yrs vs City Avg
City Avg: 6.0 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Holt, MI (3626 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (4 Years) 4 Yrs
Holt Specialty Average (6.0 Years) 6.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-10-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704383913

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Samuel Comden , NP

Nurse Practitioner

NPI 1174474027

Nurse Practitioner

Jared Graves , PA-C

Physician Assistant

NPI 1447919311

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2022

Registered at 2380 CEDAR ST STE 100, HOLT, MI 488422210 (Tel: 5177424900)

📍
Updated Business Mailing Address July 09, 2022

Registered at 1270 GARDEN CITY RD APT 455, EAST LANSING, MI 488236045 (Tel: 5178994816)

👤
Provider Name / Credentials Updated July 09, 2022

Recorded as JIYEON KIM, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2022

Nurse Practitioner (License #4704383913 in MI)

🟢
Initial NPI Registration & Enumeration July 09, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023742756
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2022
Last Update: October 30, 2025
Sole Proprietor: No

Mailing Address

1270 Garden City Rd Apt 455

East Lansing, MI 488236045

Phone: 5178994816

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.