Kimmie Phisaiwath, APRN-CNP
NPI 1639662216 · Family Nurse Practitioner · Oklahoma City, OK
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimmie Phisaiwath, APRN-CNP is a Family Nurse Practitioner provider in Oklahoma City, OK (NPI 1639662216).
Provider details
- NPI number
- 1639662216
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-CNP
- Sex
- Female
- Sole proprietor
- No
- License
- R009993 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
430 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 149 | $35 |
| X-Ray of Foot, Minimum of 3 Views73630 | 68 | $26 |
| X-Ray of Ankle, Minimum of 3 Views73610 | 65 | $28 |
| Ultrasound Study of Arm and Leg Arteries93922 | 35 | $62 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 34 | $71 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 32 | $101 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-06-08
- Last updated
- 2024-11-15
- Certified
- 2024-11-15
Frequently asked questions
- What is Kimmie Phisaiwath's NPI number?
- Kimmie Phisaiwath's National Provider Identifier (NPI) is 1639662216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimmie Phisaiwath's specialty?
- Kimmie Phisaiwath is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimmie Phisaiwath located?
- Kimmie Phisaiwath's practice location on file with NPPES is 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382.
- What is Kimmie Phisaiwath's phone number?
- The practice phone number listed in the NPPES registry for Kimmie Phisaiwath is (405) 608-3855.
- Does Kimmie Phisaiwath accept Medicare?
- Kimmie Phisaiwath is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimmie Phisaiwath's NPI active?
- Yes — Kimmie Phisaiwath's NPI (1639662216) is active in the NPPES registry as of the last update on 2024-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.