Individual provider Active NPI

Sammy Elizabeth Kratzer, FNP-C

  • Family Nurse Practitioner
  • Philadelphia, MS
National Provider Identifier
1326522319
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902902 Issued in MS
Practice address
1003 Holland Ave Ste 103
Philadelphia, MS 39350-2180
Phone
(601) 482-9224
NPI assigned
Sep 17, 2018
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 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 902902 MS Primary

Addresses

Primary practice location

1003 Holland Ave Ste 103
Philadelphia, MS 39350-2180

Mailing address

PO Box 649105
Dallas, TX 75264-9105
Phone (601) 207-7093

Other practice location 1

1314 19th Ave
Meridian, MS 39301-4116
Phone (601) 483-0011

Other practice location 2

14365 Highway 16 W
DE Kalb, MS 39328-7974
Phone (769) 486-1000

Other practice location 3

1001 14th St
Meridian, MS 39301-4458
Phone (601) 482-9224

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
I20190102000991 MS Practitioner - Nurse Practitioner 0941545446 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Pain Associates, PLLCGroup PAC ID 1456328210, 10 clinicians

Practice addresses (Care Compare)

1001 14TH St
Meridian, MS 39301-4458
Phone (601) 482-9224

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laird Hospital, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Southern Pain Associates, PLLC CurrentSince Apr 28, 2022 Accepting new patients
Scott Regional Medical Center, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Noxubee General Critical Access Hospital CurrentSince Oct 3, 2019 Accepting new patients
Kemper Cah, Inc CurrentSince Feb 1, 2019 Accepting new patients
Kemper Cah, Inc Family CurrentSince Feb 1, 2019 Accepting new patients
Rush Medical Foundation CurrentSince Feb 1, 2019 Accepting new patients
Kemper Cah, Inc. Current Accepting new patients
Noxubee General Critical Access Hospital CurrentSince Oct 3, 2019 Accepting new patients
Laird Hospital, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Rush Medical Foundation Current Accepting new patients
Medical Foundation, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Scott Regional Medical Center, Inc Family Current Accepting new patients
Scott Regional Medical Center, Inc. Family CurrentSince Feb 1, 2019 Accepting new patients
Kemper Cah, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Laird Hospital, Inc. Current Accepting new patients
Rush Medical Foundation CurrentSince Feb 1, 2019 Accepting new patients

Locations

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

78 Hospital Rd
Macon, MS 39341
Phone (662) 726-4231

1001 14th St
Meridian, MS 39301
Phone (601) 482-9224

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

317 Highway 13 S
Morton, MS 39117
Phone (601) 732-6301

1003 Holland Ave
Ste 103
Philadelphia, MS 39350
Phone (601) 482-9224

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

Organizations & group practices 17

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.

View all 17

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1326522319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752649105",
            "telephone_number": "601-207-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 HOLLAND AVE STE 103",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502180",
            "telephone_number": "601-482-9224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014116",
            "country_code": "US",
            "telephone_number": "601-483-0011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14365 Highway 16 W",
            "address_purpose": "LOCATION",
            "city": "DE Kalb",
            "state": "MS",
            "postal_code": "393287974",
            "country_code": "US",
            "telephone_number": "769-486-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014458",
            "country_code": "US",
            "telephone_number": "601-482-9224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRATZER",
        "first_name": "SAMMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.