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MRS. KIMBERLY DAWN POLK APN
NPI 1730411059
Nurse Practitioner - Family in Memphis, TN

Active since February 11, 2010PECOS EnrolledAccepts Medicare Assignment
32.55/100
CMS Quality Rating
1325 EASTMORELAND AVE, STE 550, MEMPHIS, TN 38104(901) 726-0843(901) 278-2695 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kimberly Dawn Polk Apn NPPES

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

MRS. KIMBERLY DAWN POLK APN (NPI 1730411059) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (14737) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, is affiliated with Methodist Healthcare - Olive Branch Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1730411059
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KIMBERLY DAWN POLKCredential: APN
Location Address1325 EASTMORELAND AVE, STE 550Memphis, TN 38104-7507
Mailing AddressPo Box 1000 Dept 941Memphis, TN 38101-0941 · (901) 726-0843 · Fax (901) 278-2695
Phone(901) 726-0843
Fax(901) 278-2695
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 11, 2010
Last NPPES UpdateAugust 21, 2014
✔ NPI 1730411059 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 TN · 14737
1325 EASTMORELAND AVE, Memphis, TN 38104
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Other Names 1

Former Name (1)Miss Kimberly Dawn Shannon

Other Identifiers 3

OtherP00873632TN · Railroad Medicare
Medicare UPIN103I503374TN
Medicaid1518648TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc., Oscar Insurance Company and more.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

Mrs. Kimberly Dawn Polk Apn 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 ID7719017524
PECOS Enrollment IDI20100604000510
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 2

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.

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.
68 services54 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

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

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

32.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality20
Improvement Activities0
Cost75.46

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
75%329 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
91%4,913 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
94%1,212 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 39% · 1,014 patients
Patients tobacco: 34% · 1,014 patients
18%55 patients1/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers50 claims118 services$6.36 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers21 claims33 services$1.09 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier24 claims24 services$6.08 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$139.85 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers15 claims15 services$20.73 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 20

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

KHAWAJA MUHAMMAD MUDDASSIR MD
Internal Medicine (Pulmonary Disease)
1325 EASTMORELAND AVE, SUITE 370
MEMPHIS, TN 38104
Shelby County (901) 758-7888
DR. MARTIN VERNON ACREE M.D.
Family Medicine
1325 EASTMORELAND AVE, SUITE 150
MEMPHIS, TN 38104
Shelby County (901) 725-0648
ARTANGELA DEMETRIA HENRY DNP, FNP-C
Nurse Practitioner (Adult Health)
1325 EASTMORELAND AVE, SUITE 101
MEMPHIS, TN 38104
Shelby County (901) 516-8785
MEMPHIS CARDIAC CARE CENTER, PLLC
Internal Medicine (Clinical Cardiac Electrophysiology)
1325 EASTMORELAND AVE, SUITE 440
MEMPHIS, TN 38104
Shelby County (901) 722-8884
UT METHODIST PHYSICIANS
General Acute Care Hospital
1325 EASTMORELAND AVE, SUITE 460
MEMPHIS, TN 38104
Shelby County (312) 493-9280
MICHELLE DAWN KITSON MD
Internal Medicine
1325 EASTMORELAND AVE, SUITE 245
MEMPHIS, TN 38104
Shelby County (901) 516-9800
CARLA R SLAYDEN FNP
Nurse Practitioner (Family)
1325 EASTMORELAND AVE, SUITE 525
MEMPHIS, TN 38104
Shelby County (901) 722-0088
NIA NOELLE ZALAMEA MD
Surgery
1325 EASTMORELAND AVE, SUITE 370
MEMPHIS, TN 38104
Shelby County (901) 758-7888

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 Polk's NPI number?

The NPI number for Kimberly Polk is 1730411059. It was assigned to this individual provider in the NPPES registry on February 11, 2010. The provider is also known as Miss Kimberly Dawn Shannon.

Where is Kimberly Polk located?

Kimberly Polk practices at 1325 Eastmoreland Ave Ste 550, Memphis, TN 38104. The listed phone number is (901) 726-0843.

What is Kimberly Polk's specialty?

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

Is Kimberly Polk enrolled in Medicare?

Yes. Kimberly Polk 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 Polk accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Kimberly Polk 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 Polk affiliated with any hospitals?

According to CMS data, Kimberly Polk is affiliated with Methodist Healthcare - Olive Branch Hospital, Baptist Memorial Hospital and Methodist Hospitals Of Memphis.

When was this NPI record last updated?

The NPPES record for Kimberly Polk was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.