NPIMap

Individual provider Active NPI

Kimberly Lynn Bakkes, MD

  • Family Medicine Physician
  • Sitka, AK
National Provider Identifier
1841245388
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5390 Issued in AK
Practice address
700 Katlian St Ste E
Sitka, AK 99835-7359
Phone
(907) 747-5861
NPI assigned
May 23, 2006
Last updated
Dec 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5390 AK Primary
Family Medicine Physician 207Q00000X 015656 ME

Addresses

Primary practice location

700 Katlian St Ste E
Sitka, AK 99835-7359

Mailing address

700 Katlian St Ste E
Sitka, AK 99835-7359
Phone (907) 747-5861

Other identifiers 1

IdentifierTypeStateIssuer
MD29523MedicaidAK

Other names 1

  • Dr. Kimberly Lynn Merris Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614001354 TX Practitioner - Family Practice 9032014733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
015656MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jul 3, 2019 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jul 3, 2019 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Maniilaq Association Past Accepting new patients
North Lexington Urgent Treatment Associates PSC Family Medicine Past Accepting new patients
Bluegrass Internal Medicine and Nephrology Past Accepting new patients
Maniilaq Association Past Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

209 Moller Ave
Sitka, AK 99835
Phone (907) 747-1722

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

700 Katlian St
Ste E
Sitka, AK 99835
Phone (907) 747-4559

Interoperability endpoints

  • Direct secure messaging: kimberlyb@direct-searhc.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1841245388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 KATLIAN ST STE E",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357359",
            "telephone_number": "907-747-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 KATLIAN ST STE E",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357359",
            "telephone_number": "907-747-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKKES",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "5390",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "015656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD29523",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MERRIS",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sitka, AK

Sources for this page

Verify at the official NPI Registry.