Individual provider Active NPI

Kappi L. Rushing, CFNP

  • Family Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1205910718
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R862442 Issued in MS
Practice address
46 SGT Prentiss Dr
Suite 301
Natchez, MS 39120-4725
Phone
(601) 442-4488
Fax
(601) 445-2247
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R862442 MS Primary

Addresses

Primary practice location

46 SGT Prentiss Dr
Suite 301
Natchez, MS 39120-4725

Mailing address

46 SGT Prentiss Dr
Suite 301
Natchez, MS 39120-4725
Phone (601) 442-4488

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170712001157 MS Practitioner - Nurse Practitioner 9133498801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McComb Og-GYN AssociatedGroup PAC ID 6103833959, 4 clinicians

Practice addresses (Care Compare)

205 Marion Ave
McComb, MS 39648-2705
Phone (601) 684-9116

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R862442MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McComb Og-GYN Associated CurrentSince Jun 9, 2017 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Southwest Ms Regional Medical Center Past Accepting new patients

Locations

215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180

205 Marion Ave
McComb, MS 39648
Phone (601) 250-4275

1311 Aston Ave
McComb, MS 39648
Phone (601) 684-2481

Organizations & group practices 5

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205910718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SGT PRENTISS DR",
            "address_2": "SUITE 301",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204725",
            "telephone_number": "601-442-4488",
            "fax_number": "601-445-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SGT PRENTISS DR",
            "address_2": "SUITE 301",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204725",
            "telephone_number": "601-442-4488",
            "fax_number": "601-445-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHING",
        "first_name": "KAPPI",
        "middle_name": "L.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R862442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.