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

Yejin Kim, AGNP

Individual provider Registered Nurse · NPI 1861188948

Yejin Kim, AGNP is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2023, 3 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
Specialties on file
4
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone: (919) 784-3542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8851 Ellstree Ln, Raleigh, NC 27617-2045 — (919) 981-9898

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 5018482 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 312559 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence AG06230234 (NC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 5018482 (NC)

Record details

NPI number1861188948
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedApril 12, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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