KIMBERLY T WILSON C-NP
NPI 1487308706
Nurse Practitioner in Memphis, TN

Q: What is Kimberly Wilson's NPI number?

The NPI number for Kimberly Wilson is 1487308706. It was assigned to this individual provider in the NPPES registry on February 6, 2022.

Q: What is Kimberly Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Wilson was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 06, 2022PECOS EnrolledAccepts Medicare Assignment

3481 AUSTIN PEAY HWY, MEMPHIS, TN 38128(901) 842-3174 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 3, 2022, Feb 6, 2022 (2 updates tracked since 2022).

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About Kimberly T Wilson C-np NPPES

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

KIMBERLY T WILSON C-NP (NPI 1487308706) is an individual nurse practitioner in Memphis, Tennessee, licensed in Tennessee (30266) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487308706

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKIMBERLY T WILSONCredential: C-NP

Location Address3481 AUSTIN PEAY HWYMemphis, TN 38128-3801

Mailing Address901 N 7th StWest Memphis, AR 72301-2001 · (870) 735-4334

Phone(901) 842-3174

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 6, 2022

Last NPPES UpdateAugust 2, 20232 updates tracked since enumeration

NPPES CertifiedAugust 2, 2023

✔ NPI 1487308706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 30266

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 217809 (AR)

3481 AUSTIN PEAY HWY, Memphis, TN 38128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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 T Wilson C-np 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 ID648650101

PECOS Enrollment IDI20220630002594, I20240102002088

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christ Community Health Services, Inc

Same address

Federally Qualified Health Center (FQHC)

3481 AUSTIN PEAY HWY
Memphis, TN 38128

Reassigned Medicare billing, Tennessee enrollment
101 clinicians in this Medicare group

NPI 1609261510 (901) 260-8500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38128 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 11

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

JOHANNA REYNA ROSALES-CHAVEZ DO

Internal Medicine