KIMBERLY JORDAN TUPPER – Physician Assistant, NPI 1437785482
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for KIMBERLY JORDAN TUPPER
2851 STAGE CENTER DR
BARTLETT, TN 381344679
Phone: (901) 388-7711
Type: Location
6371 SHENANDOAH LN
OLIVE BRANCH, MS 386543425
Phone: (901) 921-1771
Type: Location
5910 WINDING RIVER WAY APT 204
MEMPHIS, TN 381202917
Phone: (901) 921-1771
Type: Mailing
8060 WOLF RIVER BLVD
GERMANTOWN, TN 381381727
Phone: (901) 271-1000
Fax: (901) 922-6718
Type: Mailing
391 SOUTHCREST CIR STE 200
SOUTHAVEN, MS 386716729
Phone: (901) 271-1000
Fax: (901) 922-6718
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $848.
Total Amount is formed as General ($848) + Research ($0) + Ownership ($0) = $848.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($149).
Total Amount
$848
General + Research + Ownership
Payments
40
Total payment records
General Amount
$848
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $149 |
| Lilly USA, LLC | $125 |
| ATRICURE, INC. | $97 |
| AstraZeneca Pharmaceuticals LP | $92 |
| Novo Nordisk Inc | $61 |
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: 2023-09-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230925003748 | I | Physician Assistant | MS | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 73 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 61 | 55 | $0 |
| 81002 | Urinalysis, manual test | 51 | 41 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 22 | 20 | $0 |
| 71046 | X-ray of chest, 2 views | 21 | 21 | $0 |
Insurance plans in this area (ZIP 38134)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | GA | |
| Internal Medicine | MS | |
| Family Practice | TN | |
| Nurse Practitioner | MS | |
| Family Practice | MS | |
| - | MS | |
| Internal Medicine, Pediatric Medicine | MS | |
| Nurse Practitioner | MS |
Reviews
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