KIMMIE PHISAIWATH APRN-CNP
NPI 1639662216
Nurse Practitioner - Family in Oklahoma City, OK

Active since June 08, 2018PECOS EnrolledAccepts Medicare Assignment
4050 W MEMORIAL RD FL 3, OKLAHOMA CITY, OK 73120(405) 608-3855 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2024, Jun 12, 2020 (2 updates tracked since 2020).

About Kimmie Phisaiwath Aprn-cnp NPPES

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

KIMMIE PHISAIWATH APRN-CNP (NPI 1639662216) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (R009993) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Oklahoma Heart Hospital, Llc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1639662216
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMMIE PHISAIWATHCredential: APRN-CNP
Location Address4050 W MEMORIAL RD FL 3Oklahoma City, OK 73120-8382
Mailing Address7800 Nw 85th TerOklahoma City, OK 73132-3385
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 8, 2018
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1639662216 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 OK · R009993
4050 W MEMORIAL RD FL 3, Oklahoma City, OK 73120

Other Names 1

Former Name (1)Phuong Nguyen

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

Kimmie Phisaiwath Aprn-cnp 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 ID3375894124
PECOS Enrollment IDI20180918003751
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 9

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
149 services92 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
68 services37 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
65 services34 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
35 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services27 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
32 services14 patients

Hospital Affiliations CMS Care Compare

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

Oklahoma Heart Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipPhysician
CMS Certification Number370215
Location4050 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Internal Medicine (Cardiovascular Disease)
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120
Internal Medicine (Interventional Cardiology)
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120
Internal Medicine (Clinical Cardiac Electrophysiology)
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120
Internal Medicine (Interventional Cardiology)
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120
Nurse Practitioner (Family)
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120
Physician Assistant
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120
Nurse Practitioner (Acute Care)
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120

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 Kimmie Phisaiwath's NPI number?

The NPI number for Kimmie Phisaiwath is 1639662216. It was assigned to this individual provider in the NPPES registry on June 8, 2018. The provider is also known as Phuong Nguyen.

Where is Kimmie Phisaiwath located?

Kimmie Phisaiwath practices at 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120. The listed phone number is (405) 608-3855.

What is Kimmie Phisaiwath's specialty?

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

Is Kimmie Phisaiwath enrolled in Medicare?

Yes. Kimmie Phisaiwath 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 Kimmie Phisaiwath accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Kimmie Phisaiwath 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 Kimmie Phisaiwath affiliated with any hospitals?

According to CMS data, Kimmie Phisaiwath is affiliated with Oklahoma Heart Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Kimmie Phisaiwath was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.