Active NPI
Kathy Hill, NP
- Family Nurse Practitioner
- Pelahatchie, MS
National Provider Identifier
1508950502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R668281
- Practice address
- 610 Second St
Pelahatchie, MS 39145-3135 - Phone
- (601) 854-5044
- Fax
- (601) 854-8448
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R668281 | MS | Primary |
Addresses
Primary practice location
610 Second St
Pelahatchie, MS 39145-3135
Mailing address
PO Box 23666
Jackson, MS 39225-3666
Phone (601) 200-4749
Other practice location 1
610 Second St
Pelahatchie, MS 39145-3135
Phone (601) 854-5044
Other practice location 2
1297 W Government St
Brandon, MS 39042-3048
Phone (601) 200-4790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0121654 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Highland Way
Madison, MS 39110-6933
Hospital & facility affiliations
- Centerwell Home Health
- St Dominic-Jackson Memorial Hospital
- Ochsner Scott Regional
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.09 of 100
- Quality
- 73.43
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Dominic Medical Associates LLC | Current | Accepting new patients | |
| St. Dominic Medical Associates LLC | Current | Accepting new patients | |
| St Dominic Medical Associates LLC | Family | Past | Accepting new patients |
Locations
1297 W Government St
Brandon, MS 39042
Phone (601) 200-4790
969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644
106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376
Interoperability endpoints
- khill2546035@direct.casso.us.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Jackson, MS
- NPI 1407920549
-
- Hospitalist Physician
- Jackson, MS
- NPI 1285987578
-
- Family Nurse Practitioner
- Jackson, MS
- NPI 1508263179
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Flowood, MS
- NPI 1417935578
-
- Critical Access Hospital
- Morton, MS
- NPI 1134278435
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1508950502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23666",
"city": "JACKSON",
"state": "MS",
"postal_code": "392253666",
"telephone_number": "601-200-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 SECOND ST",
"city": "PELAHATCHIE",
"state": "MS",
"postal_code": "391453135",
"telephone_number": "601-854-5044",
"fax_number": "601-854-8448"
}
],
"practiceLocations": [
{
"address_1": "610 Second St",
"address_purpose": "LOCATION",
"city": "Pelahatchie",
"state": "MS",
"postal_code": "391453135",
"country_code": "US",
"telephone_number": "601-854-5044",
"fax_number": "601-854-8448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1297 W Government St",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "MS",
"postal_code": "390423048",
"country_code": "US",
"telephone_number": "601-200-4790",
"fax_number": "601-200-4855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILL",
"first_name": "KATHY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R668281",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0121654",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pelahatchie, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.