Katelynn Pannell, NP
Individual provider Active NPI Family Nurse Practitioner · Tupelo, MS
NPI 1013515667 · NPPES record last updated Jul 14, 2025
Key facts
- NPI
- 1013515667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 904178 (MS)
- Practice address
- 499 S Gloster St Ste a-1
Tupelo, MS 38801-5539 - Phone
- (662) 432-0700
- NPI assigned
- Oct 15, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Memorial Hospital Union County, Inc.
Urology Professional Association
Practice addresses (Care Compare)
200 Hwy 30 W
New Albany, MS 38652-3112
Phone (601) 534-7631
499 Gloster Creek VLG
Suite A1
Tupelo, MS 38801-4749
Phone (662) 432-0700
Hospital & facility affiliations
- North Mississippi Medical Ctr HHA
- North Mississippi Medical Center
- Magnolia Regional Health Center
- Tishomingo Health Services Inc
- Baptist Memorial Hospital Union County
- Baptist Memorial Hospital Booneville
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.8 of 100
- Quality
- 91.59
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210201000676 | MS | Practitioner - Nurse Practitioner | 4284048323 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 904178 | MS | MD | Critical Care Medicine Registered Nurse |
| 1508886805 | MS | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redmed, LLC | Current |
Accepting new patients | |
| Urology Professional Association | Urology | Current |
Accepting new patients |
| Baptist Memorial Hospital Union County, Inc. | Current |
Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Redmed, LLC | Current |
Accepting new patients |
Locations
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
171 Lakewood Dr
Batesville, MS 38606
Phone (662) 234-6464
203 Alcorn Dr
Corinth, MS 38834
Phone (662) 286-8222
188 Starlyn Ave
New Albany, MS 38652
Phone (662) 486-2700
200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631
12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044
499 Gloster Creek Vlg
Ste A1
Tupelo, MS 38801
Phone (662) 377-7100
499 S Gloster St
Ste A1
Tupelo, MS 38801
Phone (615) 695-4977
499 Gloster Creek Vlg
Tupelo, MS 38801
Phone (662) 377-2663
Interoperability endpoints
- katelynnpannell@nmhs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 1508886805 | MS | |
| Nurse Practitioner | 363L00000X | 904178 | MS | |
| Family Nurse Practitioner | 363LF0000X | 904178 | MS | Yes |
Addresses
Primary practice location
499 S Gloster St Ste a-1
Tupelo, MS 38801-5539
Mailing address
499 Gloster Creek VLG Ste A1
Tupelo, MS 38801-4749
Phone (662) 432-0700
Other practice location 1
200 State Highway 30 W
New Albany, MS 38652-3197
Phone (662) 432-0700
Other providers in Tupelo, MS
- Julie Robin Palmer
- Kathryn Howell Palmer
- Trace Truman Palmer
- Petro Palykhata
- Jennifer Pannell
- Katlynn Pannell
- Marqueena Pannell
- Michael Alexander Pannell
- Panola Physician Group, LLC
- Greg R Parham
All providers in Tupelo, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.