Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elisa Chanmee Kim, CRNP

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1144118423

Elisa Chanmee Kim, CRNP is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2025, 1 year ago. Practices with North Carolina Mg LLC, a 712-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone: (919) 784-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Nurse Practitioner (primary) Taxonomy 363LC0200X · Licence 5022473 (NC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 5022473 (NC)

Record details

NPI number1144118423
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 25, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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