Individual provider Active NPI

Kara Breann Krivanec, NP

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1295449601
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905613 Issued in MS
Practice address
971 Lakeland Dr Ste 1250
Jackson, MS 39216-4609
Phone
(601) 200-5955
Fax
(601) 200-5939
NPI assigned
Jan 10, 2023
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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 905613 MS Primary

Addresses

Primary practice location

971 Lakeland Dr Ste 1250
Jackson, MS 39216-4609

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (601) 200-5955

Other practice location 1

1907 Lisa Drive Ext
Greenville, MS 38703-4429
Phone (662) 335-3252

Other practice location 2

29 S Fourth St
Rolling Fork, MS 39159-5146
Phone (662) 873-4361

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
I20230204000535 MS Practitioner - Nurse Practitioner 3779955521 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustcare Health, LLCGroup PAC ID 0547427858, 40 clinicians

Practice addresses (Care Compare)

601 Hwy 80 E
Clinton, MS 39056-5122
Phone (601) 708-1480

786 Lake Harbour Dr
Ridgeland, MS 39157-4303
Phone (601) 499-0022

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
905613MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gluckstadt TC Kids, LLC CurrentSince Feb 2, 2026 Accepting new patients
Trustcare Health, LLC CurrentSince Feb 12, 2026 Accepting new patients
Signify Health, LLC CurrentSince Mar 14, 2025 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Jan 23, 2023 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Jan 23, 2023 Accepting new patients
Pain Treatment Centers of America, PLLC Current Accepting new patients

Locations

1651 W Government Cv
Brandon, MS 39042
Phone (601) 487-4340

101 Lexington Dr
Ste A
Gluckstadt, MS 39110
Phone (601) 427-5657

1907 Lisa Drive Ext
Greenville, MS 38703
Phone (662) 334-2929

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (662) 390-7670

1073 Highway 51
Ste 103
Madison, MS 39110
Phone (601) 707-3978

1051 Highland Colony Pkwy
Ste E
Ridgeland, MS 39157
Phone (601) 707-3737

786 Lake Harbour Dr
Ridgeland, MS 39157
Phone (601) 499-0022

29 S Fourth St
Rolling Fork, MS 39159
Phone (662) 873-4361

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19538/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19538/brand/2/csg/1/fhir/r4

Organizations & group practices 7

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.

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": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1295449601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "601-200-5955",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 1250",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164609",
            "telephone_number": "601-200-5955",
            "fax_number": "601-200-5939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1907 Lisa Drive Ext",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MS",
            "postal_code": "387034429",
            "country_code": "US",
            "telephone_number": "662-335-3252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 S Fourth St",
            "address_purpose": "LOCATION",
            "city": "Rolling Fork",
            "state": "MS",
            "postal_code": "391595146",
            "country_code": "US",
            "telephone_number": "662-873-4361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIVANEC",
        "first_name": "KARA",
        "middle_name": "BREANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.