Caitlin Kisner, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

899599 Issued in MS

Practice address

121 E Baker St
Indianola, MS 38751-2498

Phone

(662) 207-8557

NPI assigned

Jan 29, 2025

Last updated

Jan 29, 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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Sunflower County HospitalGroup PAC ID 6709771637, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caitlinkisner@ssch.medalliesdirect.net

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.

• South Sunflower County Hospital

  • General Acute Care Hospital
  • Indianola, MS
  • NPI 1184679292
  Medicare reassignment Care Compare group NPD
• South Sunflower County Hospital

  dba Indianola Family Medical Group

  • Rural Health Clinic/Center
  • Indianola, MS
  • NPI 1245248699
  NPD
• South Sunflower County Hospital

  • Advanced Practice Midwife
  • Indianola, MS
  • NPI 1962395863
  NPD

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1114730520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 THREE MILE LAKE RD",
            "city": "INVERNESS",
            "state": "MS",
            "postal_code": "387539514",
            "telephone_number": "662-207-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E BAKER ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512498",
            "telephone_number": "662-207-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISNER",
        "first_name": "CAITLIN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MS",
            "license": "899599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Joe
• Carolyn S Johnson, FNP
• Julia R. Hill, DMD, PA
• Just Like Home Adult Day Care LLC (Just Like Home)
• Caprice V Kimber
• Lean on Me, LLC
• Liberty Health & Rehab of Indianola, LLC
• Life Changing Adult Daycare
• Light of the World Adult Day Care, LLC
• Jacquelyne Brown Little, FNP

• Midwife in Indianola, MS
• Providers in Indianola, MS by specialty
• Midwife in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.