Katie Llewellyn Kerr McClain, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

906898 Issued in MS

Practice address

830 S Gloster St
Tupelo, MS 38801-4934

Phone

(662) 377-4161

NPI assigned

Jul 1, 2024

Last updated

Oct 20, 2024By the provider in NPPES

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Relias Emergency Medicine Specialists of Amory, LLCGroup PAC ID 4486088853, 27 clinicians

Relias Emergency Medicine Specialists of Tupelo LLCGroup PAC ID 6608179734, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Center-Gilmore Amory Hospital, Amory, MS, CCN 250025

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katiemcclain@nmhs.medalliesdirect.net

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.

• Relias Emergency Medicine Specialists of Amory, LLC

  • Emergency Medicine Physician
  • Amory, MS
  • NPI 1265074769
  Medicare reassignment Care Compare group NPD
• Relias Emergency Medicine Specialists of Tupelo LLC

  • Emergency Medicine Physician
  • Tupelo, MS
  • NPI 1841664661
  Medicare reassignment Care Compare group NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD

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

• Monroe Health Services, Inc.

  dba North Mississippi Medical Center - Gilmore - Amory

  • General Acute Care Hospital
  • Amory, MS
  • NPI 1164993457
  Care Compare affiliation

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1487499471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MANLEY RD",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355924947",
            "telephone_number": "205-712-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-4161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Manley Rd",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "AL",
            "postal_code": "355924947",
            "country_code": "US",
            "telephone_number": "205-712-3121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "KATIE",
        "middle_name": "LLEWELLYN KERR",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "906898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Michelle McCain, NP-C
• Brandy M McCain, CRNP
• Macy McCain
• Christopher K. McCarley, P.A.
• Monica McCarley, F.N.P.
• Kelly Tate McClain, MS
• Lane Elizabeth McClellan, LCSW
• Richard Allen McCluney, M.D.
• James McClurkan, MAE
• Leslie Ellen McCollum, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2024; 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.