Marilyn Rhoads Kelly, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

574996 Issued in MS

Practice address

202 N 1St St
Booneville, MS 38829-2718

Phone

(662) 340-1138

Fax

(662) 728-5185

NPI assigned

Nov 30, 2005

Last updated

Oct 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Mississippi School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians

Northeast Ms Internal Medicine PCGroup PAC ID 6507843356, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044

Merit-based Incentive Payment System (MIPS)

Final score

80.87 of 100Reported as group

Quality

60.45

Promoting interoperability

77

Improvement activities

40

Cost

68.7

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ekelly684919@direct.bmhcc.org

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.

• Northeast Ms Internal Medicine PC

  • Internal Medicine Physician
  • Booneville, MS
  • NPI 1407831928
  Medicare reassignment Care Compare group NPD
• Baptist Memorial Medical Group Inc

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1306089206

  MS, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Panola Physician Group, LLC

  • Family Medicine Physician
  • Batesville, MS
  • NPI 1528528874
  Medicare reassignment NPD
• Medwell Plus, LLC

  dba MedWell Plus

  • Multi-Specialty Clinic/Center
  • Booneville, MS
  • NPI 1659160745
  Medicare reassignment
• Quitman Community Hospital

  • Critical Access Hospital
  • Marks, MS
  • NPI 1063177228
  Medicare reassignment
• Panola Physician Group, LLC

  dba Pain Management Center of North Mississippi

  • Pain Clinic/Center
  • Tupelo, MS
  • NPI 1790385417
  NPD
• Quitman Community Hospital

  dba Quitman Family & Specialty Clinic

  • Clinic/Center
  • Marks, MS
  • NPI 1346973625

  Nurse Practitioner

  NPD
• Quitman Community Hospital

  dba Quitman Community Senior Care

  • Psychiatric Hospital Unit
  • Marks, MS
  • NPI 1841055308
  NPD
• Baptist Memorial Medical Group Inc

  dba BMG East Memphis Pharmacy

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1841006129
  NPD

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

• Baptist Memorial Hospital-Booneville, Inc.

  • General Acute Care Hospital
  • Booneville, MS
  • NPI 1396709978
  Care Compare affiliation

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1023092533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N 1ST ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388292718",
            "telephone_number": "662-340-1138",
            "fax_number": "662-728-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARILYN",
        "middle_name": "RHOADS",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "574996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08138363",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita D. Jones
• Jose L Madara Jr M D PA
• Maan Joudeh, MD
• Neiko Judon, M.ED, PCMHT
• Bradley Kebodeaux, LPC
• Ken Goodwin, DMD, PA (Park Place Dental)
• Cherry Kennedy, L.P.N.
• Katie Kerr, FNP
• Heather J Kirk, FNP
• Halle M Knowles

• Nurse Practitioner in Booneville, MS
• Providers in Booneville, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.