Krystal A Perez, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

904402 Issued in MS

Practice address

110 Highway 7 S
Greenwood, MS 38930-6056

Phone

(662) 299-9859

NPI assigned

Jan 22, 2021

Sex

Female

Sole proprietor

Yes

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Segue Health of Mississippi LLCGroup PAC ID 2769757897, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Greenwood Home health agency, Greenwood, MS, CCN 257131

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Segue Health of Mississippi LLC

  • Family Medicine Physician
  • Flowood, MS
  • NPI 1467989954
  Medicare reassignment Care Compare group
• J and J Primary Healthcare Services

  • Clinical Medical Laboratory
  • Greenwood, MS
  • NPI 1851045579
  NPD Authorized official

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

• Sta-Home Health Agency of Greenwood, Inc.

  • Home Health Agency
  • Greenwood, MS
  • NPI 1235270588
  Care Compare affiliation

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1487244455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MIMOSA ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389305113",
            "telephone_number": "662-299-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HIGHWAY 7 S",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389306056",
            "telephone_number": "662-299-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KRYSTAL",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily C Patridge, MMFT, LMFT
• Dominique Alexis Patterson
• Latasha Paynes
• PBR Counseling Center, LLC
• Bobbie Peoples, AT
• Gwendolyn Pernell
• Tammy Pernell, PCMHT
• Lacharity Perry, RN
• Cynthia Pickett
• Lauren Elizabeth Pilgrim, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.