KIMBERLY WALLIS PANKO MA
NPI 1245840230
Counselor - Professional in Missoula, MT
About Kimberly Wallis Panko Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY WALLIS PANKO MA (NPI 1245840230) is an individual professional provider in Missoula, Montana, licensed in Montana (BBH-LCPC-LIC-50086) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberly Wallis Panko Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Panko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Las Cruces, NM 88011
- Reassigned Medicare billing, Montana enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimberly Panko's NPI number?
The NPI number for Kimberly Panko is 1245840230. It was assigned to this individual provider in the NPPES registry on August 4, 2020.
Where is Kimberly Panko located?
Kimberly Panko practices at 7955 Toby Way, Missoula, MT 59808. The listed phone number is (406) 219-1302.
What is Kimberly Panko's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kimberly Panko enrolled in Medicare?
Yes. Kimberly Panko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kimberly Panko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Panko reassigns Medicare benefits to Deer Oaks Mental Health Associates PC (Las Cruces, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Panko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Panko accept?
Health plans from Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kimberly Panko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kimberly Panko was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Kimberly Wallis Panko, MA · NPI 1245840230
Professional provider in Missoula, Montana. Individual provider, active in the CMS NPPES registry since August 4, 2020.
## Identity
- **NPI:** 1245840230 (Entity type: Individual)
- **Enumerated:** August 4, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** BBH-LCPC-LIC-50086 (Montana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7955 TOBY WAY, Missoula, MT 59808-5024
- **Phone:** (406) 219-1302
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Deer Oaks Mental Health Associates PC (NPI 1134175763, Las Cruces, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1245840230) · Data from the CMS NPPES public registry.