Anne Walker Kimes, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Forest, MS
NPI 1700566213 · NPPES record last updated Mar 26, 2025
Key facts
- NPI
- 1700566213
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 906081 (MS)
- Practice address
- 505 Airport Rd
Forest, MS 39074-4033 - Phone
- (601) 469-4151
- NPI assigned
- Jul 19, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Mississippi School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Independent Healthcare Management Inc
Practice addresses (Care Compare)
505 Airport Rd
Suite D
Forest, MS 39074-4033
Phone (601) 333-0947
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231012001875 | MS | Practitioner - Nurse Practitioner | 1153776034 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Healthcare Management Inc | Current |
Accepting new patients | |
| Independent Healthcare Management, Inc. | Current |
Accepting new patients | |
| Independent Healthcare Management, Inc. | Current |
Accepting new patients |
Locations
505 Airport Rd
Forest, MS 39074
Phone (601) 333-0947
505 Airport Rd
Ste D
Forest, MS 39074
Phone (601) 333-0947
330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151
330 N Broad St
Forest, MS 39074
Phone (601) 469-4151
110 Pioneer Way
Magee, MS 39111
Interoperability endpoints
- anne.kimes@phspch.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 906081 | MS | Yes |
Addresses
Primary practice location
505 Airport Rd
Forest, MS 39074-4033
Mailing address
505 Airport Rd
Forest, MS 39074-4025
Phone (601) 469-4771
Other providers in Forest, MS
- Jackie Jones III
- Margaret Lee Jones
- Sarah J Jones
- Stephanie Rene Jones
- Anna Kelly
- Phalanecia Fondriea Kincaid
- Laboratory Corporation of America Holdings
- Justin Laster
- John Paul Lee
- William Mark Lewis
All providers in Forest, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.