Kristie Anderson, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R883183 Issued in MS

Practice address

805 E River PL
Jackson, MS 39202-3486

Phone

(601) 500-7660

Fax

(769) 243-7946

NPI assigned

Jun 26, 2015

Last updated

Apr 23, 2025By the provider in NPPES

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Brother's Keeper IncGroup PAC ID 4082859004, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristie.anderson.1@20190.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• My Brother's Keeper, Inc

  • Clinic/Center
  • Jackson, MS
  • NPI 1609128339
  Medicare reassignment Care Compare group NPD
• My Brother's Keeper, Inc

  • Clinic/Center
  • Hattiesburg, MS
  • NPI 1215603139
  NPD
• Mallory Community Health

  dba Dr. Arenia C. Mallory Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lexington, MS
  • NPI 1740308873
  NPD (past)

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1447632351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E RIVER PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023486",
            "telephone_number": "601-500-7660",
            "fax_number": "769-243-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E RIVER PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023486",
            "telephone_number": "601-500-7660",
            "fax_number": "769-243-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KRISTIE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R883183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher D Anderson, MD
• Courtney Anderson
• Dora Anderson, CFNP
• Kaitlyn Anderson
• Katy Annette Anderson, COTA/L
• Leon Anderson Jr., DMD
• Luke Anderson, MD
• Marie Crispin Anderson, RN FNP
• Mark Anderson, MD
• Micheal Anderson Jr., CSS

• Family Nurse Practitioner in Jackson, MS
• Providers in Jackson, 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 Apr 23, 2025; 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.