Individual provider Active NPI

Kerry L Kokaisel, CFNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • West Point, MS
National Provider Identifier
1477500676
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
R718327 Issued in MS
Practice address
217 Court St
West Point, MS 39773-2926
Phone
(662) 494-7060
Fax
(662) 494-7533
NPI assigned
May 31, 2006
Last updated
Jun 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X R718327 MS Primary

Addresses

Primary practice location

217 Court St
West Point, MS 39773-2926

Mailing address

1032 State Hwy 50 W
West Point, MS 39773
Phone (662) 524-4347

Other identifiers 1

IdentifierTypeStateIssuer
05435572MedicaidMS

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
I20060906000213 MS Practitioner - Nurse Practitioner 7416951413 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R718327MSMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Region Seven Mental Health Intellectual Disabilities Comm CurrentSince Jun 5, 2017 Accepting new patients
Region Seven Mental Health Intellectual Disabilities Comm PastSince Sep 1, 2024 Accepting new patients
Region Seven Mental Health Idd Commission Past Accepting new patients

Locations

302 N Jackson St
Starkville, MS 39759
Phone (662) 323-9261

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1477500676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 STATE HWY 50 W",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "39773",
            "telephone_number": "662-524-4347",
            "fax_number": "662-524-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 COURT ST",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397732926",
            "telephone_number": "662-494-7060",
            "fax_number": "662-494-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKAISEL",
        "first_name": "KERRY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R718327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05435572",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, MS

Sources for this page

Verify at the official NPI Registry.