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

Individual provider Acute Care Nurse Practitioner · NPI 1083034847

Joanna Kim, AGACNP-BC is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2013, 13 years ago. Practices with Shock Trauma Associates PA, a 262-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
13
Licensed in
MD
In the registry since
2014
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Practice location Address checks out

22 S Greene St Dept OF Orthopaedics
Baltimore, MD 21201-1544
Phone: (410) 328-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence R187817 (MD)

Record details

NPI number1083034847
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedApril 21, 2014
Last updated in NPPESDecember 30, 2023
Certification dateDecember 30, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Shock Trauma Associates Pa — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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