Individual provider Active NPI

Katherine Hogan, FNP-C

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1972029668
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902286 Issued in MS
Practice address
1001 14TH St
Meridian, MS 39301-4458
Phone
(601) 482-9224
Fax
(601) 482-9223
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 902286 MS Primary

Addresses

Primary practice location

1001 14TH St
Meridian, MS 39301-4458

Mailing address

1001 14TH St
Meridian, MS 39301-4458
Phone (601) 482-9224

Other practice location 1

1003 Holland Ave
Philadelphia, MS 39350-2180
Phone (601) 482-9224

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
I20170928002584 MS Practitioner - Nurse Practitioner 1850666942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Pain Associates, PLLCGroup PAC ID 1456328210, 10 clinicians

Practice addresses (Care Compare)

1001 14TH St
Meridian, MS 39301-4458
Phone (601) 482-9224

Hospital & facility affiliations

  • Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104
  • Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069
  • Neshoba County General Hospital Hospital, Philadelphia, MS, CCN 251340

Merit-based Incentive Payment System (MIPS)

Final score
77.61 of 100Reported as group
Quality
74.48
Promoting interoperability
95
Improvement activities
40
Cost
55.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902286MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pain Associates, PLLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

1001 14th St
Meridian, MS 39301
Phone (601) 482-9224

1003 Holland Ave
Ste 103
Philadelphia, MS 39350
Phone (601) 482-9224

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972029668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014458",
            "telephone_number": "601-482-9224",
            "fax_number": "601-482-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014458",
            "telephone_number": "601-482-9224",
            "fax_number": "601-482-9223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Holland Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "MS",
            "postal_code": "393502180",
            "country_code": "US",
            "telephone_number": "601-482-9224",
            "fax_number": "601-482-9223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "KATHERINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.