DR. KAYLISE ANGELLE TRAHAN MD
NPI 1023505161
Emergency Medicine in Vicksburg, MS
About Dr. Kaylise Angelle Trahan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAYLISE ANGELLE TRAHAN MD (NPI 1023505161) is an individual emergency medicine provider in Vicksburg, Mississippi, licensed in Mississippi (28095) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 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 (PECOS)
Dr. Kaylise Angelle Trahan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Kaylise Trahan reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39204
- Reassigned Medicare billing, Mississippi enrollment
- 187 clinicians in this Medicare group
Jackson, MS 39204
- Reassigned Medicare billing, Mississippi enrollment
- 99 clinicians in this Medicare group
Jackson, MS 39213
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Natchez, MS 39120
- Reassigned Medicare billing, Mississippi enrollment
- 68 clinicians in this Medicare group
Morton, MS 39117
- Reassigned Medicare billing, Mississippi enrollment
- 94 clinicians in this Medicare group
Grenada, MS 38901
- Reassigned Medicare billing, Mississippi enrollment
- 83 clinicians in this Medicare group
Lake Charles, LA 70601
- Reassigned Medicare billing, Louisiana enrollment
- 167 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39183 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VICKSBURG, MS 39183
VICKSBURG, MS 39183
VICKSBURG, MS 39183
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 Kaylise Trahan's NPI number?
The NPI number for Kaylise Trahan is 1023505161. It was assigned to this individual provider in the NPPES registry on April 14, 2018.
Where is Kaylise Trahan located?
Kaylise Trahan practices at 2100 Highway 61 N, Vicksburg, MS 39183. The listed phone number is (601) 883-5000.
What is Kaylise Trahan's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kaylise Trahan enrolled in Medicare?
Yes. Kaylise Trahan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kaylise Trahan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaylise Trahan reassigns Medicare benefits to 7 organizations: App Of Mississippi Ed, LLC (Jackson, MS), Jackson Hb Medical Services LLC (Jackson, MS), State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), Natchez Hb Medical Services LLC (Natchez, MS), Independent Healthcare Management, Inc. (Morton, MS) and 2 more organizations, listed in the Medicare section above. 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 Kaylise Trahan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaylise Trahan accept?
Health plans from Oscar Health Plan, Inc. list Kaylise Trahan 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.
When was this NPI record last updated?
The NPPES record for Kaylise Trahan was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Kaylise Angelle Trahan, MD · NPI 1023505161
Emergency Medicine physician in Vicksburg, Mississippi. Individual provider, active in the CMS NPPES registry since April 14, 2018.
## Identity
- **NPI:** 1023505161 (Entity type: Individual)
- **Enumerated:** April 14, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 28095 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2100 HIGHWAY 61 N, Vicksburg, MS 39183-8211
- **Phone:** (601) 883-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): App Of Mississippi Ed, LLC (NPI 1730687740, Jackson, MS); Jackson Hb Medical Services LLC (NPI 1184305856, Jackson, MS); State Of Mississippi - University Of Mississippi Medical Center (NPI 1619778586, Jackson, MS); Natchez Hb Medical Services LLC (NPI 1770264459, Natchez, MS); Independent Healthcare Management, Inc. (NPI 1952694994, Morton, MS); and 2 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1023505161) · Data from the CMS NPPES public registry.