Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY E PROCTOR RN/NP
NPI 1609853381
Nurse Practitioner - Pediatrics in Memphis, TN

Q: What is Kimberly Proctor's NPI number?

The NPI number for Kimberly Proctor is 1609853381. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Q: What is Kimberly Proctor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Proctor was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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 December 23, 2005PECOS Enrolled

332 N LAUDERDALE ST., MS 133, MEMPHIS, TN 38105(901) 495-3006(901) 495-3842 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kimberly E Proctor Rn/np NPPES

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

KIMBERLY E PROCTOR RN/NP (NPI 1609853381) is an individual pediatrics provider in Memphis, Tennessee, licensed in Tennessee (97240) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609853381

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKIMBERLY E PROCTORCredential: RN/NP

Location Address332 N LAUDERDALE ST., MS 133Memphis, TN 38105-2794

Mailing Address332 N Lauderdale St., Ms 133Memphis, TN 38105-2794 · (901) 495-3006 · Fax (901) 495-3842

Phone(901) 495-3006

Fax(901) 495-3842

Sole ProprietorNo

Enumeration DateDecember 23, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1609853381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in TN · 97240

332 N LAUDERDALE ST., Memphis, TN 38105

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Other Identifiers 1

Medicaid5440513TN

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 E Proctor Rn/np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38105 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.

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 Proctor's NPI number?

The NPI number for Kimberly Proctor is 1609853381. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Kimberly Proctor located?

Kimberly Proctor practices at 332 N Lauderdale St. Ms 133, Memphis, TN 38105. The listed phone number is (901) 495-3006.

What is Kimberly Proctor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kimberly Proctor enrolled in Medicare?

Yes. Kimberly Proctor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Proctor was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.