KATELYN STALNAKER RICHARDSON AGNP-C
NPI 1003414509
Nurse Practitioner in Tupelo, MS
About Katelyn Stalnaker Richardson Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN STALNAKER RICHARDSON AGNP-C (NPI 1003414509) is an individual nurse practitioner in Tupelo, Mississippi, licensed in Mississippi (905648) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katelyn Stalnaker Richardson Agnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Katelyn Richardson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 13 clinicians in this Medicare group
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Mississippi Medical Center
Acute Care Hospitals · Tupelo, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUPELO, MS 38801
TUPELO, MS 38801
TUPELO, MS 38801
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katelyn Richardson's NPI number?
The NPI number for Katelyn Richardson is 1003414509. It was assigned to this individual provider in the NPPES registry on October 15, 2020.
Where is Katelyn Richardson located?
Katelyn Richardson practices at 499 Gloster Creek Vlg Ste G1, Tupelo, MS 38801. The listed phone number is (662) 377-2663.
What is Katelyn Richardson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Katelyn Richardson enrolled in Medicare?
Yes. Katelyn Richardson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Katelyn Richardson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Richardson reassigns Medicare benefits to 2 organizations: Orthopaedic Institute Of North Mississippi, LLC (Tupelo, MS) and North Mississippi Medical Center Services LLC (Tupelo, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katelyn Richardson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Katelyn Richardson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Katelyn Richardson affiliated with any hospitals?
According to CMS data, Katelyn Richardson is affiliated with North Mississippi Medical Center.
When was this NPI record last updated?
The NPPES record for Katelyn Richardson was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katelyn Stalnaker Richardson, AGNP-C · NPI 1003414509
Nurse Practitioner physician in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since October 15, 2020.
## Identity
- **NPI:** 1003414509 (Entity type: Individual)
- **Enumerated:** October 15, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 905648 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 499 GLOSTER CREEK VLG STE G1, Tupelo, MS 38801-4751
- **Phone:** (662) 377-2663
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Orthopaedic Institute Of North Mississippi, LLC (NPI 1790755320, Tupelo, MS); North Mississippi Medical Center Services LLC (NPI 1013202886, Tupelo, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** November 2, 2022
- **Other identifiers:** Other 897205 (MS); Other 905648 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1003414509) · Data from the CMS NPPES public registry.