MRS. KIMBERLY DAWN POLK (APN) – Family Nurse Practitioner, NPI 1730411059
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
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Provider Addresses for MRS. KIMBERLY DAWN POLK (APN)
PO BOX 1000 DEPT 941
MEMPHIS, TN 381010941
Phone: (901) 726-0843
Fax: (901) 278-2695
Type: Mailing
1325, Eastmoreland Avenue, Medical District, Annesdale Park, Memphis, Shelby County, Tennessee, 38104, United States
STE 550
MEMPHIS, TN 381047507
Phone: (901) 726-0843
Fax: (901) 278-2695
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 165 Open Payments records for all available years, with a total value of $2,958.
Total Amount is formed as General ($2,958) + Research ($0) + Ownership ($0) = $2,958.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($491).
Total Amount
$2,958
General + Research + Ownership
Payments
165
Total payment records
General Amount
$2,958
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $491 |
| GlaxoSmithKline, LLC. | $384 |
| Novo Nordisk Inc | $374 |
| Abbott Laboratories | $241 |
| Lilly USA, LLC | $169 |
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: 2010-06-04
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 |
|---|---|---|---|---|
| I20100604000510 | I | Nurse Practitioner | TN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 866 | 325 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 470 | 253 | $0 |
| 81003 | Automated urinalysis test | 188 | 140 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 176 | 13 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 137 | 82 | $0 |
Insurance plans in this area (ZIP 38101)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | TN | 85610 | Blood test, clotting time | 426 | 52 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | MN | |
| Physician Assistant | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
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