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Active NPI 1528726221 Individual Practitioner Female Practitioner

Jisook Kim

Nurse Practitioner - Primary Care • Sunray, TX

Professional Overview & Biography Verified Profile Summary

Jisook Kim is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in Sunray, TX. Practice services are available at 6701 FM 119 under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6701 Fm 119

Sunray, TX 790862013

Telephone 8069351503
Fax 8069351429
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Sunray, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Sunray, TX (828 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
18 17 $163.42 $61.27

Medical Specialties & State Licenses

CMS Verified: 2025-05-03
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License TX 1059809

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners
Joseph Lauhon , PHYSICIAN ASSISTANT

Physician Assistant - Medical

NPI 1669432712

PHYSICIANASSISTANT

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location May 03, 2025

Registered at 6701 FM 119, SUNRAY, TX 790862013 (Tel: 8069351503)

📍
Updated Business Mailing Address May 03, 2025

Registered at PO BOX 195, DUMAS, TX 790290195 (Tel: 8173724194)

📍
Updated Practice Location September 09, 2024

Registered at 1950 EPHRIHAM AVE, FORT WORTH, TX 761646670 (Tel: 8178137075)

📍
Updated Business Mailing Address September 09, 2024

Registered at PO BOX 746079, ATLANTA, GA 303746079 (Tel: 3127339730)

NPI Profile Active November 30, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2021

Registered at 6736 E PARK DR, FORT WORTH, TX 761323747 (Tel: 8173724194)

📍
Updated Business Mailing Address November 30, 2021

Registered at 6736 E PARK DR, FORT WORTH, TX 761323747 (Tel: 8173724194)

👤
Provider Name / Credentials Updated November 30, 2021

Recorded as JISOOK KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2021

Nurse Practitioner (License #1059809 in TX)

🟢
Initial NPI Registration & Enumeration November 30, 2021

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: 1528726221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2021
Last Update: May 03, 2025
Sole Proprietor: No

Mailing Address

Po Box 195

Dumas, TX 790290195

Phone: 8173724194

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.