KALISA MICKELL FNP
NPI 1013504067
Nurse Practitioner - Family in Tupelo, MS

Active since December 23, 2020PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
830 S GLOSTER ST, TUPELO, MS 38801(662) 377-3000 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2021, Dec 23, 2020 (2 updates tracked since 2020).

About Kalisa Mickell Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALISA MICKELL FNP (NPI 1013504067) is an individual family provider in Tupelo, Mississippi, licensed in Mississippi (904311) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013504067
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKALISA MICKELLCredential: FNP
Location Address830 S GLOSTER STTupelo, MS 38801-4934
Mailing Address830 S Gloster StTupelo, MS 38801-4934 · (662) 377-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 23, 2020
Last NPPES UpdateApril 7, 20212 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
NPI 1013504067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 904311
830 S GLOSTER ST, Tupelo, MS 38801

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kalisa Mickell Fnp 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.

PECOS PAC ID7719370402
PECOS Enrollment IDI20220201001225
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
125 services70 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
124 services121 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
65 services48 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
47 services33 patients

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, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Physician 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.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
830 S GLOSTER ST, NORTH MS MEDICAL CENTER
TUPELO, MS 38801
Emergency Medicine (Undersea and Hyperbaric Medicine)
830 S GLOSTER ST
TUPELO, MS 38801
Emergency Medicine (Emergency Medical Services)
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 S GLOSTER ST
TUPELO, MS 38801
Physician Assistant (Medical)
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Anesthetist, Certified Registered
830 S GLOSTER ST
TUPELO, MS 38801
Physician Assistant (Surgical)
830 S GLOSTER ST, NMMC EAST TOWER, 3RD FLOOR
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST, 1ST FLOOR EAST TOWER
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 Kalisa Mickell's NPI number?

The NPI number for Kalisa Mickell is 1013504067. It was assigned to this individual provider in the NPPES registry on December 23, 2020.

Where is Kalisa Mickell located?

Kalisa Mickell practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-3000.

What is Kalisa Mickell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kalisa Mickell enrolled in Medicare?

Yes. Kalisa Mickell 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.

What insurance does Kalisa Mickell accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Kalisa Mickell 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 Kalisa Mickell affiliated with any hospitals?

According to CMS data, Kalisa Mickell is affiliated with North Mississippi Medical Center.

When was this NPI record last updated?

The NPPES record for Kalisa Mickell was last updated on April 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.