Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY KENNEDY FNP
NPI 1093180531
Nurse Practitioner - Family in Laurel, MS

Q: What is Kimberly Kennedy's NPI number?

The NPI number for Kimberly Kennedy is 1093180531. It was assigned to this individual provider in the NPPES registry on December 9, 2015.

Q: What is Kimberly Kennedy'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 Kimberly Kennedy was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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 December 09, 2015PECOS EnrolledAccepts Medicare Assignment

1410 JEFFERSON ST, LAUREL, MS 39440(601) 425-7522(601) 649-3551 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Jan 25, 2021, Dec 9, 2015 (3 updates tracked since 2015).

On this page

About Kimberly Kennedy Fnp NPPES

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

KIMBERLY KENNEDY FNP (NPI 1093180531) is an individual family provider in Laurel, Mississippi, licensed in Mississippi (874680) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with South Central Reg Med Ctr, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093180531

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY KENNEDYCredential: FNP

Location Address1410 JEFFERSON STLaurel, MS 39440-4243

Mailing AddressPo Box 247Laurel, MS 39441-0247 · (601) 399-6169 · Fax (601) 399-6281

Phone(601) 425-7522

Fax(601) 649-3551

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 9, 2015

Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration

NPPES CertifiedOctober 8, 2026

✔ NPI 1093180531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 874680

Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License R874680 (MS)

1410 JEFFERSON ST, Laurel, MS 39440

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Kimberly Kennedy 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 ID6204240377

PECOS Enrollment IDI20210201001635

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Central Clinics, Inc

Same address

MOHS-Micrographic Surgery

1410 JEFFERSON ST
Laurel, MS 39440

Reassigned Medicare billing, Mississippi enrollment
205 clinicians in this Medicare group

NPI 1073828455 (601) 425-4860

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

South Central Reg Med Ctr

Acute Care Hospitals · Laurel, MS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250058

Location1220 Jefferson St Box 607Laurel, MS 39440 · Jones County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39440 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 12

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

DR. HOSSEIN NASAJPOUR MD

Surgery (Plastic and Reconstructive Surgery)