Doctor profile · Federal record

Dr. Kimmie Phisaiwath, APRN-CNP

Family Nurse Practitioner (CMS: Nurse Practitioner) · Oklahoma City, OK

  • NPI 1639662216
  • Accepts Medicare
  • 8 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4050 W Memorial RD Fl 3
Oklahoma City, OK 731208382
(405) 608-3855
Mailing address
7800 Nw 85Th Ter
Oklahoma City, OK 731323385

Credentials & registration

NPPES · NUCC
NPI registered
June 2018 — 8 yrs on file
Profile last updated
November 15, 2024
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
Oklahoma #R009993

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1639662216. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
902
Distinct HCPCS
9
Medicare allowed
$37,543
HCPCS Description Services Patients Avg allowed
11721 Removal of fingernails or toenails, 6 or more nails 381 137 $35
73630 X-ray of foot, minimum of 3 views 136 72 $26
73610 X-ray of ankle, minimum of 3 views 132 68 $28
99213 Established patient office or other outpatient visit, 20-29 minutes 100 70 $71
93922 Ultrasound study of arm and leg arteries 55 55 $63
11055 Removal of noncancer thickened skin growth, 1 growth 52 35 $49
99203 New patient office or other outpatient visit, 30-44 minutes 19 19 $89
11056 Removal of noncancer thickened skin growth, 2-4 growths 15 14 $62
93923 Complete ultrasound study of arm and leg arteries 12 12 $98

In context: peer comparison

Among 116 peers in Oklahoma City Family Nurse Practitioner, average services per provider: 130. This provider delivers 6.9× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
30
Patients
11
Total drug cost
$531
Drug Type Claims Patients Total cost
Ammonium Lactate Generic 17 0 $486
Tramadol Hcl Generic 13 11 $45

Frequently asked questions

Auto-generated from federal data
What is Dr. Kimmie Phisaiwath's medical specialty?
Dr. Kimmie Phisaiwath practices Family Nurse Practitioner in Oklahoma City, OK.
Where does Dr. Kimmie Phisaiwath practice?
Dr. Kimmie Phisaiwath practices at 4050 W Memorial RD Fl 3, Oklahoma City, OK 731208382. Office phone: 4056083855.
What is Dr. Kimmie Phisaiwath's NPI?
Dr. Kimmie Phisaiwath's National Provider Identifier (NPI) is 1639662216, issued by NPPES.
Does Dr. Kimmie Phisaiwath accept Medicare assignment?
Yes. Dr. Kimmie Phisaiwath accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kimmie Phisaiwath commonly perform?
Top Medicare-reported procedures in 2023: Removal of fingernails or toenails, 6 or more nails (HCPCS 11721); X-ray of foot, minimum of 3 views (HCPCS 73630); X-ray of ankle, minimum of 3 views (HCPCS 73610). Source: CMS Medicare Physician & Other Practitioners file.