KIMBERLY JORDAN TUPPER
NPI 1437785482
Physician Assistant in Southaven, MS

Active since March 20, 2020PECOS EnrolledAccepts Medicare Assignment
391 SOUTHCREST CIR STE 200, SOUTHAVEN, MS 38671(901) 271-1000(901) 922-6718 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 21, 2026, Nov 19, 2020, Oct 21, 2020 and 1 more (4 updates tracked since 2020).

About Kimberly Jordan Tupper NPPES

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

KIMBERLY JORDAN TUPPER (NPI 1437785482) is an individual physician assistant in Southaven, Mississippi, licensed in Mississippi (PA00741) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1437785482
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY JORDAN TUPPER
Location Address391 SOUTHCREST CIR STE 200Southaven, MS 38671-6729
Mailing Address8060 Wolf River BlvdGermantown, TN 38138-1727 · (901) 271-1000 · Fax (901) 922-6718
Fax(901) 922-6718
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 20, 2020
Last NPPES UpdateJanuary 21, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
NPI 1437785482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MS · PA00741
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

391 SOUTHCREST CIR STE 200, Southaven, MS 38671

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberly Jordan Tupper 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.

PECOS PAC ID9234549544
PECOS Enrollment IDI20230925003748
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 36

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
293 services195 patients
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.
287 services197 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
234 services184 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
174 services128 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
141 services107 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
134 services34 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 Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250167
Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$69.64 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Interventional Cardiology)
391 SOUTHCREST CIR STE 200
SOUTHAVEN, MS 38671
Internal Medicine (Interventional Cardiology)
391 SOUTHCREST CIR STE 200
SOUTHAVEN, MS 38671
Internal Medicine (Interventional Cardiology)
391 SOUTHCREST CIR STE 200
SOUTHAVEN, MS 38671

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 Tupper's NPI number?

The NPI number for Kimberly Tupper is 1437785482. It was assigned to this individual provider in the NPPES registry on March 20, 2020.

Where is Kimberly Tupper located?

Kimberly Tupper practices at 391 Southcrest Cir Ste 200, Southaven, MS 38671. The listed phone number is (901) 271-1000.

What is Kimberly Tupper's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Tupper enrolled in Medicare?

Yes. Kimberly Tupper 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.

What insurance does Kimberly Tupper accept?

Health plans from Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Kimberly Tupper 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.

Is Kimberly Tupper affiliated with any hospitals?

According to CMS data, Kimberly Tupper is affiliated with Baptist Memorial Hospital Desoto and Methodist Healthcare - Olive Branch Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Tupper was last updated on January 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.