Individual provider Active NPI

Kelsey Mink, FNP-C

  • Family Nurse Practitioner
  • Booneville, MS
National Provider Identifier
1831803550
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905744 Issued in MS
Practice address
1002 N 2ND St
Booneville, MS 38829-1314
Phone
(662) 340-4375
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905744 MS Primary

Addresses

Primary practice location

1002 N 2ND St
Booneville, MS 38829-1314

Mailing address

1002 N 2ND St
Booneville, MS 38829-1314
Phone (662) 844-2870

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
I20250325003743 MS Practitioner - Nurse Practitioner 2466975982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Urgent Care of CorinthGroup PAC ID 5991832081, 10 clinicians

Practice addresses (Care Compare)

1002 N 2ND St
Booneville, MS 38829-1314
Phone (662) 340-4375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
905744MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redmed, LLC CurrentSince Jan 12, 2026 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Feb 1, 2025 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Feb 1, 2025 Accepting new patients
Redmed, LLC CurrentSince Jan 12, 2026 Accepting new patients

Locations

1002 N 2nd St
Booneville, MS 38829
Phone (662) 340-4375

2601 Getwell Rd
Ste 1
Corinth, MS 38834
Phone (662) 287-7138

188 Starlyn Ave
New Albany, MS 38652
Phone (662) 486-2700

Organizations & group practices 4

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1831803550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N 2ND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388291314",
            "telephone_number": "662-844-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N 2ND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388291314",
            "telephone_number": "662-340-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINK",
        "first_name": "KELSEY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

Verify at the official NPI Registry.