Kelli P. Mooney, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

884545 Issued in MS

Practice address

7100 U S Highway 98 Ste 220
Hattiesburg, MS 39402-8557

Phone

(601) 582-7655

Fax

(601) 582-3220

NPI assigned

Jul 12, 2016

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interventional Spine and Sports InstituteGroup PAC ID 3678617958, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health & Hospice Home health agency, Hattiesburg, MS, CCN 257091
• Magee General Hospital Hospital, Magee, MS, CCN 250124
• South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13202/brand/1/csg/1/fhir/r4
• Direct secure messaging: kelli.mooney.1@13202.direct.athenahealth.com

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.

• Interventional Spine & Sports Institute

  • Physical Medicine & Rehabilitation Physician
  • Hattiesburg, MS
  • NPI 1073746152
  Medicare reassignment Care Compare group NPD
• Arthritis Associates, PLLC

  • Rheumatology Physician
  • Hattiesburg, MS
  • NPI 1588619167
  Medicare reassignment NPD
• South Central Clinics, Inc

  • Family Medicine Physician
  • Ellisville, MS
  • NPI 1801226287
  Medicare reassignment NPD
• South Central Clinics, Inc

  • Rural Health Clinic/Center
  • Laurel, MS
  • NPI 1033903547
  NPD
• South Central Clinics, Inc

  • Orthopaedic Surgery Physician
  • Laurel, MS
  • NPI 1265615249
  NPD

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

• Home Health Care Systems, Inc.

  • Home Health Agency
  • Hattiesburg, MS
  • NPI 1760416754
  Care Compare affiliation
• Magee Benevolent Association

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1679553994
  Care Compare affiliation
• South Central Regional Medical Center

  • General Acute Care Hospital
  • Laurel, MS
  • NPI 1619973542
  Care Compare affiliation

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1205288495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 U S HIGHWAY 98 STE 220",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028557",
            "telephone_number": "601-582-7655",
            "fax_number": "601-582-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 U S HIGHWAY 98 STE 220",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028557",
            "telephone_number": "601-582-7655",
            "fax_number": "601-582-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "KELLI",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "884545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie J Monk, LCSW
• Teresa S Monroe, FNP
• Rosa Marie Moody, N/A
• Moonbloom LLC
• Holly Mooney
• Kelsey Nicole Mooney
• Lexie Nicole Mooney
• Moore Chiropractic Clinic Hattiesburg PLLC
• Anna K Moore, PT
• Benjamin C Moore, M.D.

• Family Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, 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 12, 2016; 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.