KATHERINE PUCKETT GINN N.P.
NPI 1114403268
Nurse Practitioner in Jackson, MS

Active since July 12, 2018PECOS EnrolledAccepts Medicare Assignment
969 LAKELAND DR, JACKSON, MS 39216(601) 200-2637 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2025, Aug 16, 2024, Jul 20, 2020 and 1 more (4 updates tracked since 2018).

About Katherine Puckett Ginn N.p. NPPES

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

KATHERINE PUCKETT GINN N.P. (NPI 1114403268) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (902808) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114403268
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHERINE PUCKETT GINNCredential: N.P.
Location Address969 LAKELAND DRJackson, MS 39216-4606
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (601) 200-2637 · Fax (225) 765-9196
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 12, 2018
Last NPPES UpdateOctober 24, 20254 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
NPI 1114403268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MS · 902808
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 902808 (MS)
969 LAKELAND DR, Jackson, MS 39216

Secondary Practice Locations 2

Location 1970 Lakeland Dr Ste 49Jackson, MS 39216-4634 · Phone (601) 200-4850 · Fax (601) 200-4838
Location 21040 River Oaks Dr Ste 302Flowood, MS 39232-9575 · Phone (601) 939-9923 · Fax (601) 939-9924

Other Identifiers 3

Medicaid08220070MS
OtherP02359034MS · Railroad Medicare
Other688710MS · Medicare

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

Katherine Puckett Ginn N.p. 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 ID4688922693
PECOS Enrollment IDI20180808001313
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.

Hospital Affiliations CMS Care Compare

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

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers30 claims30 services$18.34 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier15 claims15 services$777.11 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$3.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers58 claims58 services$80.38 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$32.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216

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 Katherine Ginn's NPI number?

The NPI number for Katherine Ginn is 1114403268. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Where is Katherine Ginn located?

Katherine Ginn practices at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 200-2637.

What is Katherine Ginn's specialty?

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

Is Katherine Ginn enrolled in Medicare?

Yes. Katherine Ginn 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.

Is Katherine Ginn affiliated with any hospitals?

According to CMS data, Katherine Ginn is affiliated with St Dominic-Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Ginn was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.