MRS. KRISTAN S KELLY FNP-BC
NPI 1043988496
Nurse Practitioner - Family in Meridian, MS

Q: What is Kristan Kelly's NPI number?

The NPI number for Kristan Kelly is 1043988496. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Q: What is Kristan Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristan Kelly was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since September 01, 2021PECOS EnrolledAccepts Medicare Assignment

1455 N LAKELAND DR, MERIDIAN, MS 39307(601) 581-8450(601) 512-2250 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Kristan S Kelly Fnp-bc NPPES

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

MRS. KRISTAN S KELLY FNP-BC (NPI 1043988496) is an individual family provider in Meridian, Mississippi, licensed in Mississippi (904831) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Anderson Regional Medical Center South Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043988496

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KRISTAN S KELLYCredential: FNP-BC

Location Address1455 N LAKELAND DRMeridian, MS 39307-9020

Mailing Address127 Shields RdMeridian, MS 39301-9140 · (601) 513-2430

Phone(601) 581-8450

Fax(601) 512-2250

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 1, 2021

Last NPPES UpdateJuly 1, 2025

NPPES CertifiedJune 30, 2025

✔ NPI 1043988496 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 · 904831

1455 N LAKELAND DR, Meridian, MS 39307

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Secondary Practice Locations 2

Location 11451 N Lakeland DrMeridian, MS 39307-9020 · Phone (601) 581-7600

Location 21818 College DrMeridian, MS 39307 · Phone (601) 581-7600

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

Mrs. Kristan S Kelly Fnp-bc 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 ID1951799279

PECOS Enrollment IDI20230817002928

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

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 nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

72 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Anderson Regional Medical Center South Campus

Acute Care Hospitals · Meridian, MS

OwnershipProprietary

CMS Certification Number250081

Location1102 Constitution AvenueMeridian, MS 39301 · Lauderdale County

Emergency services

Anderson Regional Medical Center

Acute Care Hospitals · Meridian, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250104

Location2124 14th StreetMeridian, MS 39301 · Lauderdale County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39307 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.

Other Providers at the Same Location NPPES 6

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

SHELLY ADDKISON

Speech-Language Pathologist