Kristan S Kelly, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904831 Issued in MS

Practice address

1455 N Lakeland Dr
Meridian, MS 39307-9020

Phone

(601) 581-8450

Fax

(601) 512-2250

NPI assigned

Sep 1, 2021

Last updated

Jul 1, 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

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Columbus Orthopaedic Clinic, P.a.Group PAC ID 5890751945, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anderson Regional Medical Center South Campus Hospital, Meridian, MS, CCN 250081
• Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• The Columbus Orthopaedic Clinic, P.a.

  • Orthopaedic Surgery Physician
  • Columbus, MS
  • NPI 1740287374
  Medicare reassignment Care Compare group
• East Mississippi State Hospital

  dba Magnolia Medical Clinic

  • Multi-Specialty Clinic/Center
  • Meridian, MS
  • NPI 1346522653
  NPD
• East Mississippi State Hospital

  • Multi-Specialty Clinic/Center
  • Meridian, MS
  • NPI 1972689313
  NPD
• Physician Group

  • Multi-Specialty Clinic/Center
  • Meridian, MS
  • NPI 1558679902
  NPD
• The Summit Health & Rehab Services, Inc

  • Physical Therapist
  • McComb, MS
  • NPI 1962477943
  NPD (past)

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

• Anderson Regional Medical Center

  dba Baptist Anderson Regional Medical Center-South

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1215233986
  Care Compare affiliation
• Anderson Regional Medical Center

  dba Baptist Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1649226952
  Care Compare affiliation

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1043988496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 SHIELDS RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393019140",
            "telephone_number": "601-513-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 N LAKELAND DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393079020",
            "telephone_number": "601-581-8450",
            "fax_number": "601-512-2250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 N Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393079020",
            "country_code": "US",
            "telephone_number": "601-581-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 College Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "39307",
            "country_code": "US",
            "telephone_number": "601-581-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KRISTAN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KCC, Inc. (Vital Care of Meridian)
• Amelia Margaret Kelley, CNP
• Mary Edith Kellogg, FNP-C
• Ceatrice Kelly
• Grace Patricia Kelly, MD
• Mary Beth Kelzer, NNP
• Lauren Elizabeth Kemp, FNP
• Kemper Cah, Inc (Ochsner Health Center-Hwy 39)
• Kemper Cah, Inc (Ochsner Health Center-Immediate Care)
• Terkita Ford Kennedy, MSN, PMHNP-BC

• Family Nurse Practitioner in Meridian, MS
• Providers in Meridian, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.