Kelly Rhodes, FNP-C, AGACNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R858829 Issued in MS

Practice address

3265 Highway 90
Gautier, MS 39553-5121

Phone

(228) 366-9136

Fax

(228) 366-9137

NPI assigned

Jul 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

McClendon Medical Clinic PLLCGroup PAC ID 6103129945, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Singing River Gulfport Hospital, Gulfport, MS, CCN 250123
• Singing River Health System Hospital, Pascagoula, MS, CCN 250040

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• McClendon Medical Clinic PLLC

  • Clinic/Center
  • Ocean Springs, MS
  • NPI 1053782755
  Medicare reassignment Care Compare group NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Nurse Practitioner

  Medicare reassignment NPD
• Hancock Emergency Group LLC

  • Emergency Medicine Physician
  • Bay St Louis, MS
  • NPI 1295142396

  Nurse Practitioner

  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD

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

• Singing River Gulfport

  • General Acute Care Hospital
  • Gulfport, MS
  • NPI 1639797913
  Care Compare affiliation
• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937

  Hospital

  Care Compare affiliation
• Singing River Health System

  • General Acute Care Hospital
  • Pascagoula, MS
  • NPI 1124136593
  Care Compare affiliation

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1871933994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535121",
            "telephone_number": "228-366-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535121",
            "telephone_number": "228-366-9136",
            "fax_number": "228-366-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "KELLY",
        "credential": "FNP-C, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R858829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09457208",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Rakarah Rashid, BS
• William Richard Reading
• Donyelle Miechonne Reese, BS
• Peggy Hutto Reeves, BS
• Constance S Rhodes Warren
• Reletha Rials
• Lanitra Rice, BS
• Melba Richardson
• Darren Charles Riley, PHARMD.
• Stacey Nicole Riley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; 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.