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

Ellie Kim, NP

Individual provider Adult Health Nurse Practitioner · NPI 1619695608

Ellie Kim, NP is a Nurse Practitioner in Stanford, California. Qualified in 2022, 4 years ago. Practices with Stanford Health Care, a 3,085-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
4
Licensed in
CA, NY
In the registry since
2022
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1275 York Ave, New York, NY 10065-6007 — (212) 639-2000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95030628 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 95030628 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence F432349-01 (NY)

Record details

NPI number1619695608
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 16, 2022
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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