Kathryn Pastrell, MD
Individual provider Active NPI Family Medicine Physician · Fulton, MS
NPI 1831152081 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1831152081
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 14938 (MS)
- Practice address
- 1 Medical Park Dr
Fulton, MS 38843-9001 - Phone
- (662) 862-5200
- Fax
- (662) 862-5297
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.99 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 76.64
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100511000898 | MS | Practitioner - Family Practice | 9638207749 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14938 | MS | Yes |
Addresses
Primary practice location
1 Medical Park Dr
Fulton, MS 38843-9001
Mailing address
450 E President Ave
Tupelo, MS 38801-5599
Phone (662) 377-4685
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00120475 | Medicaid | MS |
Other providers in Fulton, MS
- Laura Orr
- Kimberly B. Outlaw
- Outpatient Rehabilitation Center of Fulton Inc
- Michelle Owens
- Debra Pannell
- Redmed, LLC
- Redmed, LLC
- Ralph David Ritch
- Haley Machelle Robinson
- Marquette Rogers
All providers in Fulton, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.