Individual provider Active NPI

Kenzie Sims, FNP-C

  • Family Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1043974678
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904955 Issued in MS
Practice address
46 Sergeant Prentiss Dr
Natchez, MS 39120-4792
Phone
(601) 445-1715
Fax
(601) 445-6720
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 904955 MS Primary

Addresses

Primary practice location

46 Sergeant Prentiss Dr
Natchez, MS 39120-4792

Mailing address

46 Sergeant Prentiss Dr
Natchez, MS 39120-4792
Phone (601) 445-1715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220216001548 LA Practitioner - Nurse Practitioner 4385037282 Reassigns benefits to 3 organizations
I20240520001693 MS Practitioner - Nurse Practitioner 4385037282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natchez Clinic Company LLCGroup PAC ID 6406178789, 8 clinicians

Practice addresses (Care Compare)

46 Seargent Prentiss Dr
Natchez, MS 39120-4751

46 Seargent Prentiss Dr
Suite 100
Natchez, MS 39120-4725
Phone (601) 442-5388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hulin Urgent Care Services LLC Multi-Specialty CurrentSince Jul 11, 2022 Accepting new patients
Hulin Urgent Care Services LLC Multi-Specialty CurrentSince Jul 11, 2022 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Feb 7, 2022 Accepting new patients
Concordia Parish Hospital Service District Number One Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients
Concordia Parish Hospital Service District Number One Multi-Specialty Current Accepting new patients
Calcasieu Urgent Care LLC Multi-Specialty CurrentSince Feb 7, 2022 Accepting new patients
Concordia Parish Hospital Service District Number One CurrentSince Mar 1, 2024 Accepting new patients
Natchez Clinic Company LLC Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients
Ahs Walk in Clinic Inc Multi-Specialty Past Accepting new patients
Natchez After Hours Clinic, PLLC PastSince Oct 1, 2021 Accepting new patients
Natchez After Hours Clinic, P.L.L.C. Multi-Specialty PastSince Oct 1, 2021 Accepting new patients

Locations

600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

57 Pinecrest Dr
Pineville, LA 71360
Phone (318) 232-6071

6569 Highway 84
Ridgecrest, LA 71334
Phone 3187576551605

46 Sgt Prentiss Dr
Ste 100
Natchez, MS 39120
Phone (601) 442-1616

46 Sgt Prentiss Dr
Ste 201
Natchez, MS 39120
Phone (601) 442-3701

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25738/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kenzie.sims.1@9778.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8038/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1043974678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SERGEANT PRENTISS DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204792",
            "telephone_number": "601-445-1715",
            "fax_number": "601-445-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SERGEANT PRENTISS DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204792",
            "telephone_number": "601-445-1715",
            "fax_number": "601-445-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "KENZIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.