Kathryn Amanda Arnold, NP-C

Key facts

NPI: 1730587767
Entity type: Individual (NPI type 1)
Primary specialty: Adult Health Nurse Practitioner 363LA2200X
License: R870540 (MS)
Practice address: 215 Marion Ave
McComb, MS 39648-2705
Phone: (601) 249-5500
Fax: (601) 249-1714
NPI assigned: Dec 8, 2014
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Interventional Spine & Sports Institute Physical Medicine & Rehabilitation Physician · Hattiesburg, MS · NPI 1073746152

Medicare reassignment Care Compare group NPD MS

Hospital & facility affiliations 1

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

Southwest Mississippi Regional Medical Center General Acute Care Hospital · McComb, MS · NPI 1407805971

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2014
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Interventional Spine and Sports Institute (3 clinicians)

Practice addresses (Care Compare)

216 S 13TH Ave
Laurel, MS 39440-4226
Phone (601) 292-6299

Hospital & facility affiliations

Southwest Ms Regional Medical Center Hospital · McComb, MS · CCN 250097

Merit-based Incentive Payment System (MIPS)

Final score: 76.45 of 100 (group)
Quality: 57.87
Promoting interoperability: 84
Improvement activities: 40
Cost: 65.48

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
I20150915002870	MS	Practitioner - Nurse Practitioner	2264749811	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Interventional Spine & Sports Institute		Current since Feb 5, 2024	Accepting new patients

Locations

92 Hal Crocker Rd
Ellisville, MS 39437
Phone (601) 261-0105

6555 U S Highway 98
Ste D
Hattiesburg, MS 39402

216 S 13th Ave
Laurel, MS 39440
Phone (601) 292-6299

300 Rawls Dr
Ste 1500
McComb, MS 39648
Phone (601) 249-2142

Interoperability endpoints

FHIR API: https://api.platform.athenahealth.com/13202/brand/1/csg/1/fhir/r4
Direct secure messaging: kathryn.arnold.1@13202.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Adult Health Nurse Practitioner	363LA2200X	R870540	MS	Yes

Addresses

Primary practice location

215 Marion Ave
McComb, MS 39648-2705

Mailing address

PO Box 490
McComb, MS 39649-0490
Phone (601) 250-4366

Other providers in McComb, MS

Sarah Dart Andrews, CRNA
Anesthesia Services Associates, PLLC
Angel Hands Home Care
Angel Wings Personal and Respite Care Home
Davonda Applewhite, PCMHT
Steven Ray Arnold, ACNP
Michael Artigues, M.D., F.A.A.P.
Patricia D Artigues, LCSW
Aspire Counseling, LLC
William Knox Austin Jr., M.D.

All providers in McComb, MS · Adult 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 May 2, 2023. 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.

Verify at the official NPI Registry.