Individual provider Active NPI

Kathy Hegwood, APRN , FNP-C

  • Family Nurse Practitioner
  • Picayune, MS
National Provider Identifier
1497363428
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904003 Issued in MS
Practice address
5009 Angler Dr
Picayune, MS 39466-2152
Phone
(601) 799-5572
NPI assigned
Jul 15, 2020
Last updated
Jul 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904003 MS Primary

Addresses

Primary practice location

5009 Angler Dr
Picayune, MS 39466-2152

Mailing address

5009 Angler Dr
Picayune, MS 39466-2152
Phone (601) 799-5572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20201201000104 LA Practitioner - Nurse Practitioner 0749455608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trompe Couillon Adventures LLCGroup PAC ID 8224388350, 6 clinicians

Practice addresses (Care Compare)

1401 Foucher St
New Orleans, LA 70115-3515
Phone (985) 381-9517

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.32
Improvement activities
40
Cost
76.15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trompe Couillon Adventures, LLC CurrentSince Jul 15, 2021 Accepting new patients

Locations

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1497363428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 ANGLER DR",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662152",
            "telephone_number": "601-799-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 ANGLER DR",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662152",
            "telephone_number": "601-799-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGWOOD",
        "first_name": "KATHY",
        "credential": "APRN , FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

Verify at the official NPI Registry.