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Ju Yeon Kim

NPI 1710764550ActiveIndividual· Nurse Practitioner, Family· Fayetteville, NY

Nurse Practitioner, Family with St Josephs Medical PC, practicing in Fayetteville, New York. Their prescriptions cost Medicare Part D more than their services did: $230,900 for 1,137 claims, against $14,383 paid for services in 2024. Novartis Pharmaceuticals Corporation was the largest of 14 companies reporting payments in 2025, $1,076 in all, mostly food and beverage. Lists Oswego Hospital and 2 other hospitals as hospital affiliations.

Overview

NPI1710764550
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedSep 14, 2023
Last updated in NPPESMay 16, 2024
Certified by providerMay 9, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X351939NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients163
Services billed366 across 17 procedure codes
Paid by Medicare$14,383

Part D prescriptions in 2024

Prescriptions (claims)1,137 · 2,994 30-day fills
Patients358
Total drug cost$230,900
Generic share84% of claims

Medicare sources and data years

Education and affiliations

Graduation year2023
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$1,076 · 55 payments from 14 companies
  • 2024$546.01 · 20 payments from 6 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$1,076 · 55 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other family nurse practitioners in Fayetteville

All 35 family nurse practitioners in Fayetteville · All family nurse practitioners in New York