Individual provider Active NPI

Anne Walker Kimes, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Forest, MS
National Provider Identifier
1700566213
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
906081 Issued in MS
Practice address
505 Airport Rd
Forest, MS 39074-4033
Phone
(601) 469-4151
NPI assigned
Jul 19, 2023
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 906081 MS Primary

Addresses

Primary practice location

505 Airport Rd
Forest, MS 39074-4033

Mailing address

505 Airport Rd
Forest, MS 39074-4025
Phone (601) 469-4771

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
I20231012001875 MS Practitioner - Nurse Practitioner 1153776034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

505 Airport Rd
Suite D
Forest, MS 39074-4033
Phone (601) 333-0947

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Healthcare Management, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Independent Healthcare Management Inc CurrentSince Aug 7, 2023 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Aug 7, 2023 Accepting new patients

Locations

330 N Broad St
Forest, MS 39074
Phone (601) 469-4151

330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151

505 Airport Rd
Forest, MS 39074
Phone (601) 333-0947

505 Airport Rd
Ste D
Forest, MS 39074
Phone (601) 333-0947

110 Pioneer Way
Magee, MS 39111

Interoperability endpoints

  • Direct secure messaging: anne.kimes@phspch.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1700566213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 AIRPORT RD",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744025",
            "telephone_number": "601-469-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 AIRPORT RD",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744033",
            "telephone_number": "601-469-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMES",
        "first_name": "ANNE",
        "middle_name": "WALKER",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "906081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, MS

Sources for this page

Verify at the official NPI Registry.