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
Hospital & facility affiliations 4
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
Practice addresses (Care Compare)
100 Wilburn Way
Suite a
Starkville, MS 39759-3692
Phone (662) 498-1400
Hospital & facility affiliations
- Clay County Medical Corporation
- North Mississippi Medical Center
- Webster General Hospital/ Swing Bed
- Baptist Memorial Hospital-Oktibbeha County
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 |
|---|---|---|---|---|
| I20210430001131 | MS | Practitioner - Nurse Practitioner | 3577972660 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903981 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clay County Medical Corporation | Current |
Accepting new patients | |
| Clay County Medical Corporation | Current | Accepting new patients | |
| Clay County Medical Corporation | Current |
Accepting new patients | |
| Medplus New Albany LLC | Nurse Practitioner | Current |
Accepting new patients |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Medplus Urgent Clinic LLC | Nurse Practitioner | Current |
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
- kanemccool@nmhs.medalliesdirect.net
- https://fhir4.healow.com/fhir/r4/BBJABD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Marlee McBride
- Ashley B McCain
- Rochelle McCarter
- S.Marie McClendon
- Thelma Jean McClenton
- Anna Victoria McCulloch
- Monique Remetrius McFarland
- Janeka McGee
- Janice McGee
- Tanya Haley McGee
All providers in Starkville, 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 Sep 3, 2024. 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.