Kathryn Micaela Robertson, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

906332 Issued in MS

Practice address

1154 S Thomas St
Tupelo, MS 38801-5605

Phone

(166) 232-2702

NPI assigned

Dec 15, 2023

Last updated

Dec 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Mississippi Medical Clinics IncGroup PAC ID 6103736665, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
• Clay County Medical Corporation Hospital, West Point, MS, CCN 250067

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathrynrobertson@nmhs.medalliesdirect.net

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.

• North Mississippi Medical Clinics Inc

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1053469486
  Medicare reassignment Care Compare group NPD
• North Mississippi Gilmore Clinics, LLC

  dba Amory Specialty Clinic

  • Internal Medicine Physician
  • Amory, MS
  • NPI 1225502370
  Medicare reassignment NPD
• Webster Health Services, Inc.

  dba Webster General Hospital

  • General Acute Care Hospital
  • Eupora, MS
  • NPI 1982719621
  Medicare reassignment NPD
• Boa Vida Hospital of Aberdeen, Ms LLC

  dba MRH Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Aberdeen, MS
  • NPI 1134858269
  NPD
• Boa Vida Hospital of Aberdeen, Ms LLC

  dba MRH Medical Group, Monroe

  • Clinic/Center
  • Aberdeen, MS
  • NPI 1467115279
  NPD
• Boa Vida Hospital of Aberdeen, Ms, LLC

  dba Monroe Regional Hospital

  • Multi-Specialty Clinic/Center
  • Aberdeen, MS
  • NPI 1710405741
  NPD
• North Mississippi Gilmore Clinics, LLC

  dba Amory Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Amory, MS
  • NPI 1588128896
  NPD
• North Mississippi Gilmore Clinics, LLC

  dba Hamilton Medical Clinic

  • Internal Medicine Physician
  • Hamilton, MS
  • NPI 1851855167
  NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• North Mississippi Medical Clinics Inc

  dba The Women's Group West Point

  • Obstetrics & Gynecology Physician
  • West Point, MS
  • NPI 1588769970
  NPD
• Webster Health Services, Inc.

  dba Webster General Hospital - ER

  • Emergency Care Clinic/Center
  • Eupora, MS
  • NPI 1578668828
  NPD
• Webster Health Services, Inc.

  dba Eupora Primary Care Clinic

  • Family Medicine Physician
  • Eupora, MS
  • NPI 1821881913
  NPD

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

• Clay County Medical Corporation

  dba Clay County Medical Center

  • General Acute Care Hospital
  • West Point, MS
  • NPI 1639284409
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  dba North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1760250088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 S THOMAS ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015605",
            "telephone_number": "166-232-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 S THOMAS ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015605",
            "telephone_number": "166-232-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KATHRYN",
        "middle_name": "MICAELA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "906332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Russell Roberts, MD
• Raychal Reed Roberts, PR, DPT
• Steven Bradford Roberts, D.M.D.
• Charles R Robertson, M.D.
• James Michael Robertson, DMD
• Franchesca Robichaud
• Braxton Lamarr Robins
• Amanda Blair Robinson, NP
• Jessica Robinson
• Patricia Robinson

• Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.

Verify at the official NPI Registry.