Kimberly Anne McCloud, MSN, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

874765 Issued in MS

Practice address

1014 Rose St Ste D
Prentiss, MS 39474-5271

Phone

(601) 792-2071

Fax

(601) 792-8134

NPI assigned

Jun 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

University of Mississippi School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Mississippi Regional Medical CenterGroup PAC ID 5193633907, shared by 11 NPIs, 82 clinicians

Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke Home Health Services Home health agency, McComb, MS, CCN 257124
• Adoration Home Health Home health agency, Collins, MS, CCN 257087
• Enhabit Home Health & Hospice Home health agency, Hattiesburg, MS, CCN 257091
• Lawrence County Hospital Cah Hospital, Monticello, MS, CCN 251305
• Jefferson Davis Community Hospital Cah Hospital, Prentiss, MS, CCN 251326
• King'S Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057
• Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097

Merit-based Incentive Payment System (MIPS)

Final score

89.09 of 100Reported as apm

Quality

73.43

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hattiesburg Clinic PA

  • Multi-Specialty Clinic/Center
  • Hattiesburg, MS
  • NPI 1740213446
  Medicare reassignment Care Compare group
• Southwest Mississippi Regional Medical Center

  • Rural Health Clinic/Center
  • Summit, MS
  • NPI 1154008811
  NPD
• Southwest Mississippi Regional Medical Center

  • Rural Health Clinic/Center
  • Monticello, MS
  • NPI 1245289172
  NPD
• Southwest Mississippi Regional Medical Center

  • Obstetrics & Gynecology Physician
  • McComb, MS
  • NPI 1982174488
  NPD
• FGH Physician Billing

  • Cardiovascular Disease Physician
  • Hattiesburg, MS
  • NPI 1053469700
  NPD (past)
• Southwest Ms Regional Medical Center

  • Cardiovascular Disease Physician
  • Monticello, MS
  • NPI 1255422457
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Mississippi, LLC

  • Home Health Agency
  • Collins, MS
  • NPI 1467400168
  Care Compare affiliation
• Forrest County General Hospital

  • Critical Access Hospital
  • Prentiss, MS
  • NPI 1295013316
  Care Compare affiliation
• Home Health Care Systems, Inc.

  • Home Health Agency
  • Hattiesburg, MS
  • NPI 1760416754
  Care Compare affiliation
• King'S Daughters Medical Center

  • General Acute Care Hospital
  • Brookhaven, MS
  • NPI 1972503464
  Care Compare affiliation
• Southwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • McComb, MS
  • NPI 1407805971
  Care Compare affiliation
• Southwest Mississippi Regional Medical Center

  • Critical Access Hospital
  • Monticello, MS
  • NPI 1932211851
  Care Compare affiliation
• St. Luke Home Health Services, LLC

  • Home Health Agency
  • McComb, MS
  • NPI 1255401642
  Care Compare affiliation

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1487034849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396490490",
            "telephone_number": "601-250-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 ROSE ST STE D",
            "city": "PRENTISS",
            "state": "MS",
            "postal_code": "394745271",
            "telephone_number": "601-792-2071",
            "fax_number": "601-792-8134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1167 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "MS",
            "postal_code": "396547682",
            "country_code": "US",
            "telephone_number": "601-587-1433",
            "fax_number": "601-587-1625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "874765",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R874765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09501028",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Lewis, PCMHT
• Living Hope; LLC
• Shanna Longino
• Carla Magee
• Michele Bryant Mahaffey, FNP
• Gwendolyn McGill, R.N.
• Anquenette Miller, CCSS
• Laura Jackson Miller, M.D.
• Mississippi State Department of Health
• Olivia D Moran, MD

• Nurse Practitioner in Prentiss, MS
• Providers in Prentiss, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.