Kane Andrew McCool, FNP-C

Individual provider Active NPI Nurse Practitioner · Starkville, MS

NPI 1124624895 · NPPES record last updated Sep 3, 2024

Key facts

NPI
1124624895
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
903981 (MS)
Practice address
1207 Highway 182 W
Starkville, MS 39759-9013
Phone
(662) 320-7800
Fax
(662) 269-6346
NPI assigned
Dec 8, 2020
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clay County Medical Corporation (36 clinicians)

Practice addresses (Care Compare)

100 Wilburn Way
Suite a
Starkville, MS 39759-3692
Phone (662) 498-1400

Hospital & facility affiliations

  • Clay County Medical Corporation Hospital · West Point, MS · CCN 250067
  • North Mississippi Medical Center Hospital · Tupelo, MS · CCN 250004
  • Webster General Hospital/ Swing Bed Hospital · Eupora, MS · CCN 250020
  • Baptist Memorial Hospital-Oktibbeha County Hospital · Starkville, MS · CCN 250050

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 IDStateProvider typePAC IDDetails
I20210430001131 MS Practitioner - Nurse Practitioner 3577972660 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
903981MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County Medical Corporation Current
since Nov 1, 2024
Accepting new patients
Clay County Medical Corporation Current Accepting new patients
Clay County Medical Corporation Current
since Nov 1, 2024
Accepting new patients
Medplus New Albany LLC Nurse Practitioner Current
since Mar 20, 2024
Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Medplus Urgent Clinic LLC Nurse Practitioner Current
since Sep 1, 2021
Accepting new patients
Clay County Medical Corporation Current Accepting new patients
Clay County Medical Corporation Past Accepting new patients

Locations

70 Medical Plz
Eupora, MS 39744
Phone (662) 258-6221

180 Park Plaza Dr
New Albany, MS 38652
Phone (662) 222-2273

100 Wilburn Way
Ste A
Starkville, MS 39759
Phone (662) 498-1400

1207 Highway 182 W
Starkville, MS 39759
Phone (662) 320-7800

874 Barnes Crossing Rd
Tupelo, MS 38804
Phone (662) 841-0002

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

  • Direct secure messaging: kanemccool@nmhs.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBJABD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903981 MS
Nurse Practitioner 363L00000X 903981 MS Yes

Addresses

Primary practice location

1207 Highway 182 W
Starkville, MS 39759-9013

Mailing address

874 Barnes Crossing Road
Tupelo, MS 38804-0909
Phone (662) 320-7800

Other practice location 1

180 Park Plaza Drive
New Albany, MS 38652-3127
Phone (662) 222-2273

Other practice location 2

407 Interchange Drive
Fulton, MS 38843-6029
Phone (662) 841-0002

Other practice location 3

874 Barnes Crossing Road
Tupelo, MS 38804-0909
Phone (662) 810-0002

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 3, 2024.

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1124624895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 BARNES CROSSING ROAD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040909",
            "telephone_number": "662-320-7800",
            "fax_number": "662-269-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 HIGHWAY 182 W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599013",
            "telephone_number": "662-320-7800",
            "fax_number": "662-269-6346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Park Plaza Drive",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523127",
            "country_code": "US",
            "telephone_number": "662-222-2273",
            "fax_number": "662-269-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 Interchange Drive",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MS",
            "postal_code": "388436029",
            "country_code": "US",
            "telephone_number": "662-841-0002",
            "fax_number": "662-269-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "874 Barnes Crossing Road",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388040909",
            "country_code": "US",
            "telephone_number": "662-810-0002",
            "fax_number": "662-269-6346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOOL",
        "first_name": "KANE",
        "middle_name": "ANDREW",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903981",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

All providers in Starkville, MS · Nurse Practitioner in Mississippi

Sources for this page

Verify at the official NPI Registry.