Individual provider Active NPI

Hayden Stokes Kilgore, FNP-C

  • Family Nurse Practitioner
  • Louisville, MS
National Provider Identifier
1386119295
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902962 Issued in MS
Practice address
17540 E Main St
Louisville, MS 39339-2772
Phone
(662) 773-9509
Fax
(662) 779-3986
NPI assigned
Oct 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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 902962 MS Primary

Addresses

Primary practice location

17540 E Main St
Louisville, MS 39339-2772

Mailing address

1550 Calhoun Rd
Louisville, MS 39339-7881

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
I20181227000492 MS Practitioner - Nurse Practitioner 9931444668 Reassigns benefits to 1 organization

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
Winston Medical Clinic LLCGroup PAC ID 7214170968, 11 clinicians

Practice addresses (Care Compare)

90 E Main St
Noxapater, MS 39346-2610
Phone (662) 446-1222

PO Box
Suite 470
Louisville, MS 39339

Hospital & facility affiliations

  • Accentcare Home Health of Carthage Home health agency, Carthage, MS, CCN 257129
  • Winston Medical Center Hospital, Louisville, MS, CCN 250027
  • Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050
  • Neshoba County General Hospital Hospital, Philadelphia, MS, CCN 251340

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902962MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winston Medical Clinic LLC Current Accepting new patients
Ard Medical Clinic PLLC Current Accepting new patients
Winston Medical Clinic LLC CurrentSince Sep 28, 2018 Accepting new patients

Locations

90 E Main St
Noxapater, MS 39346
Phone (662) 446-1972

Interoperability endpoints

  • Direct secure messaging: hayden.kilgore.1@15070.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1538784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1386119295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 CALHOUN RD",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393397881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17540 E MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392772",
            "telephone_number": "662-773-9509",
            "fax_number": "662-779-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "HAYDEN",
        "middle_name": "STOKES",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-06",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

Verify at the official NPI Registry.