DR. MICHELLE DAWN KIMMEL (M.D.) – Family Medicine Physician, NPI 1528089505

DR. MICHELLE DAWN KIMMEL (M.D.) is a healthcare provider. based in Pawnee, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 17678 (OK). The NPI Number for DR. MICHELLE DAWN KIMMEL (M.D.) is 1528089505

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE DAWN KIMMEL (M.D.)
NPI
1528089505
Phone
(918) 762-2517
Address
1201 HERITAGE CIR
Enumeration Date
22 July 2006
Last Update Date
20 November 2014

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9187622517
Graduation Year
1990 (36 years ago)
PAC ID
5890748008
Group Practice PAC ID
2769470160
Professional Enrollment ID
I20130927000307
Address ID
OK740583744PA1201XCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

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Provider Addresses for DR. MICHELLE DAWN KIMMEL (M.D.)

  • Heritage Circle, Pawnee, Pawnee County, Oklahoma, 74058, United States

    PAWNEE, OK 740583744

    Phone: (918) 762-2517

    Fax: (918) 762-4614

    Type: Location

  • 1023 E CHERRY ST STE A

    CUSHING, OK 740234105

    Phone: (918) 225-0771

    Fax: (918) 225-1993

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130927000307IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes14898$0
99214Established patient office or other outpatient visit, 30-39 minutes8767$0
View full utilization report →

Insurance plans in this area (ZIP 74058)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769470160View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyOK
Nurse PractitionerOK
Diagnostic RadiologyOK
Diagnostic RadiologyMN
Diagnostic Radiology, Emergency MedicineOK
Diagnostic RadiologyOK
Diagnostic RadiologyMN
Diagnostic RadiologyOK
Diagnostic Radiology, Internal MedicineOK

Reviews

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Frequently asked questions

What NPI should I save for DR. MICHELLE DAWN KIMMEL (M.D.)?
Save NPI 1528089505 if you need a stable reference for DR. MICHELLE DAWN KIMMEL (M.D.).
Is DR. MICHELLE DAWN KIMMEL (M.D.)'s NPI currently valid?
The extract we use shows DR. MICHELLE DAWN KIMMEL (M.D.) as active.
Can you summarize DR. MICHELLE DAWN KIMMEL (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. MICHELLE DAWN KIMMEL (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. MICHELLE DAWN KIMMEL (M.D.) practice in Oklahoma?
You will see Pawnee, Oklahoma on file for DR. MICHELLE DAWN KIMMEL (M.D.) alongside any extra practice locations.
Is DR. MICHELLE DAWN KIMMEL (M.D.) a real provider?
This page reflects official NPPES data for NPI 1528089505. Always confirm identity and privileges with the practice and licensing boards.

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