Individual provider Active NPI

Kristen McPherson, FNP-C

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1588037972
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R881818 Issued in MS
Practice address
1800 12TH St
Meridian, MS 39301
Phone
(601) 703-9265
Fax
(601) 703-3224
NPI assigned
Nov 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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 R881818 MS Primary

Addresses

Primary practice location

1800 12TH St
Meridian, MS 39301

Mailing address

1800 12TH St
Meridian, MS 39301
Phone (601) 703-9265

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160520001076 MS Practitioner - Nurse Practitioner 9133418791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
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)

232 Market St
Flowood, MS 39232-3339
Phone 8885512538101

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Meridian, MS, CCN 257300

Merit-based Incentive Payment System (MIPS)

Final score
20.13 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
67.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R881818MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laird Hospital, Inc Family CurrentSince Sep 26, 2016 Accepting new patients
Segue Health of Mississippi LLC CurrentSince Jan 1, 2023 Accepting new patients
Laird Hospital, Inc. CurrentSince Sep 26, 2016 Accepting new patients
Laird Hospital, Inc. Current Accepting new patients

Locations

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

1500 Highway 19 N
Meridian, MS 39307
Phone (601) 483-5353

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

Organizations & group practices 4

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.

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1588037972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 12TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-703-9265",
            "fax_number": "601-703-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 12TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-703-9265",
            "fax_number": "601-703-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "KRISTEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R881818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.