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KAITLIN GRANBERRY CPNP-PC
NPI 1093457988
Nurse Practitioner in Hattiesburg, MS

Active since April 11, 2022PECOS Enrolled
102 MEDICAL PARK, HATTIESBURG, MS 39401(601) 261-5159(601) 579-5240 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kaitlin Granberry Cpnp-pc NPPES

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

KAITLIN GRANBERRY CPNP-PC (NPI 1093457988) is an individual nurse practitioner in Hattiesburg, Mississippi, licensed in Mississippi (905268) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093457988
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAITLIN GRANBERRYCredential: CPNP-PC
Location Address102 MEDICAL PARKHattiesburg, MS 39401-9080
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 261-5159 · Fax (601) 579-5240
Phone(601) 261-5159
Fax(601) 579-5240
Sole ProprietorNo
Enumeration DateApril 11, 2022
NPPES CertifiedApril 11, 2022
✔ NPI 1093457988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 905268
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
102 MEDICAL PARK, Hattiesburg, MS 39401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin Granberry Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kaitlin Granberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hattiesburg Clinic PA
0.1 mi
Nephrology
415 S 28TH AVE
Hattiesburg, MS 39401
  • Reassigned Medicare billing, Mississippi enrollment
  • 696 clinicians in this Medicare group
NPI 1043392459 (601) 268-5700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39401 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 18

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

JENNIFER ROSS GOODWIN PNP-PC
Nurse Practitioner
102 MEDICAL PARK
HATTIESBURG, MS 39401
Forrest County (601) 261-5159
LYNWOOD CLINTON WHEELER PHD
Psychologist
102 MEDICAL PARK
HATTIESBURG, MS 39401
Forrest County (601) 261-5159
TAMMARA ANN JORDAN M.S.,CCC-SLP
Speech-Language Pathologist
102 MEDICAL PARK
HATTIESBURG, MS 39401
Forrest County (601) 261-5159
DR. ELIZABETH M FELDER MD
Pediatrics
102 MEDICAL PARK
HATTIESBURG, MS 39401
Forrest County (601) 261-5159
HATTIESBURG CLINIC PA
Clinic/Center (Adolescent and Children Mental Health)
102 MEDICAL PARK
HATTIESBURG, MS 39401
Forrest County (601) 261-5159
CAROL BENEDICT SIMMONS LPC
Counselor (Professional)
102 MEDICAL PARK
HATTIESBURG, MS 39401
Forrest County (601) 261-5159
ROBERT CHARLES SEVIER PHD
Psychologist
102 MEDICAL PARK
HATTIESBURG, MS 39401
Forrest County (601) 261-5159
LAUREN ENGLISH P.A.-C
Physician Assistant
102 MEDICAL PARK
HATTIESBURG, MS 39401
Forrest County (601) 261-5159

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 Kaitlin Granberry's NPI number?

The NPI number for Kaitlin Granberry is 1093457988. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Kaitlin Granberry located?

Kaitlin Granberry practices at 102 Medical Park, Hattiesburg, MS 39401. The listed phone number is (601) 261-5159.

What is Kaitlin Granberry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kaitlin Granberry enrolled in Medicare?

Yes. Kaitlin Granberry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaitlin Granberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Granberry reassigns Medicare benefits to Hattiesburg Clinic PA (Hattiesburg, MS). The 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 Kaitlin Granberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlin Granberry accept?

Health plans from Molina Healthcare and UnitedHealthcare list Kaitlin Granberry 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 Kaitlin Granberry was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.