KIMBERLY JO OKELLY APRN
NPI 1205560901
Nurse Practitioner - Family in Memphis, TN

Q: What is Kimberly Okelly's NPI number?

The NPI number for Kimberly Okelly is 1205560901. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Q: What is Kimberly Okelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Okelly was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 11, 2022PECOS Enrolled

80 HUMPHREYS CENTER DR STE 330, MEMPHIS, TN 38120(901) 752-6131(901) 752-6170 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kimberly Jo Okelly Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY JO OKELLY APRN (NPI 1205560901) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (31871) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1205560901

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY JO OKELLYCredential: APRN

Location Address80 HUMPHREYS CENTER DR STE 330Memphis, TN 38120-2363

Mailing Address350 N Humphreys BlvdMemphis, TN 38120-2177 · (901) 226-4003 · Fax (901) 227-8591

Phone(901) 752-6131

Fax(901) 752-6170

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 11, 2022

Last NPPES UpdateOctober 20, 2025

NPPES CertifiedOctober 20, 2025

✔ NPI 1205560901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 31871

80 HUMPHREYS CENTER DR STE 330, Memphis, TN 38120

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Secondary Practice Location 1

Location 1943 Whitney AveMemphis, TN 38127-7734 · Phone (901) 378-0754

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Jo Okelly Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193107548

PECOS Enrollment IDI20251224000883

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

230 services151 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440048

Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County

Emergency services Birthing friendly

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440131

Location1995 Highway 51 SCovington, TN 38019 · Tipton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICIA MIZELL EARLEY APRN

Nurse Practitioner (Family)