Kristin Kay Anderson, DNP, FNP-C, ENP-C
Individual provider Active NPI Nurse Practitioner · Hattiesburg, MS
NPI 1104632280 · NPPES record last updated Feb 6, 2025
Key facts
- NPI
- 1104632280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 907157 (MS)
- Practice address
- 6051 U S Highway 49
Hattiesburg, MS 39401-7200 - Phone
- (601) 288-7000
- NPI assigned
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- RH Emergency Medicine of Highland Community LLC
Relias Emergency Medicine Specialists of Hattiesburg LLC
Practice addresses (Care Compare)
130 Highland Pkwy
Picayune, MS 39466-5574
Phone (601) 358-9400
6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-7000
Hospital & facility affiliations
- Forrest General Hospital
- Highland Community Hospital
- Touro Infirmary
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 |
|---|---|---|---|---|
| I20250130001135 | MS | Practitioner - Nurse Practitioner | 3274062666 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907157 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relias Emergency Medicine Specialists of Hattiesburg LLC | Current |
Accepting new patients | |
| RH Emergency Medicine of Highland Community LLC | Current |
Accepting new patients | |
| Relias Clinical Decision Specialists of Hattiesburg, LLC | Current |
Accepting new patients |
Locations
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 907157 | MS | Yes |
Addresses
Primary practice location
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Mailing address
5001 E Fernwood Dr
Sioux Falls, SD 57110-5501
Phone (605) 222-0945
Other providers in Hattiesburg, MS
- Connie L Anderson
- Courtney Anderson
- Delaney Anderson
- Edward Michael Anderson
- George M Anderson
- Leslie Anderson
- Lurah Elizabeth Anderson
- Melanie Jo Anderson
- Toni Anderson
- Sarah Anderton
All providers in Hattiesburg, MS · 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 Feb 6, 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.