Individual provider Active NPI

Katie Daley Rush, CFNP

  • Family Nurse Practitioner
  • Ridgeland, MS
National Provider Identifier
1891183208
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R873357 Issued in MS
Practice address
1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079
Phone
(855) 212-2273
Fax
(629) 240-6003
NPI assigned
Jan 7, 2015
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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 R873357 MS Primary

Addresses

Primary practice location

1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079

Mailing address

5410 Maryland Way Ste 400
Ste. a
Brentwood, TN 37027-8087
Phone (855) 212-2273

Other practice location 1

1014 Rose St.
Ste. A
Prentiss, MS 39474
Phone (601) 792-1223

Other identifiers 1

IdentifierTypeStateIssuer
200023633MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150528000034 MS Practitioner - Nurse Practitioner 6204156821 Reassigns benefits to 9 organizations
I20220608000656 AL Practitioner - Nurse Practitioner 6204156821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covington County HospitalGroup PAC ID 4183517253, shared by 16 NPIs, 44 clinicians

Practice addresses (Care Compare)

800 3Rd St SW
Magee, MS 39111-3951
Phone (601) 849-1918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R873357MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covington County Hospital CurrentSince Apr 1, 2024 Accepting new patients
Forrest County General Hospital CurrentSince Mar 9, 2015 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Aug 19, 2025 Accepting new patients
Capstone Health Services Foundation PC CurrentSince May 1, 2022 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Covington County Hospital CurrentSince Jul 18, 2024 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Aug 19, 2025 Accepting new patients
Pioneer Health Care , LLC CurrentSince Nov 1, 2022 Accepting new patients
Covington County Hospital CurrentSince Nov 18, 2023 Accepting new patients
Thomas R. Blackledge, Jr., MD, PA Current Accepting new patients
Covington County Hospital Current Accepting new patients
Forrest County General Hospital CurrentSince Mar 9, 2015 Accepting new patients
Capstone Health Services Foundation PC CurrentSince May 1, 2022 Accepting new patients
Covington County Hospital CurrentSince Jul 18, 2024 Accepting new patients
Green Tree Family Medical Clinic Current Accepting new patients
Conx Care Corporation Past Accepting new patients

Locations

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

3275 Highway 49
Ste E
Collins, MS 39428
Phone (601) 765-6292

15 Keystone Dr
Ste E
Hattiesburg, MS 39402
Phone (601) 606-6326

300 Cahal St
Hattiesburg, MS 39401
Phone (601) 582-9157

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

800 3rd St SW
Magee, MS 39111
Phone (601) 849-1918

1014 Rose St
Ste A
Prentiss, MS 39474
Phone (601) 792-2200

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

105 Eaton St
Taylorsville, MS 39168
Phone (601) 452-4280

5410 Maryland Way
Ste 400
Brentwood, TN 37027

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4
  • Direct secure messaging: katie.rush.1@22854.direct.athenahealth.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1891183208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY STE 400",
            "address_2": "STE. A",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278087",
            "telephone_number": "855-212-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHLAND COLONY PKWY STE 5203",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572079",
            "telephone_number": "855-212-2273",
            "fax_number": "629-240-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 Rose St.",
            "address_2": "Ste. A",
            "address_purpose": "LOCATION",
            "city": "Prentiss",
            "state": "MS",
            "postal_code": "39474",
            "country_code": "US",
            "telephone_number": "601-792-1223",
            "fax_number": "601-651-6076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "KATIE",
        "middle_name": "DALEY",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R873357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200023633",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.