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

Q: 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.

Q: What is Katherine Ginn's specialty?

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

Q: 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 12 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 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: October 25, 2026.

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

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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

Phone(601) 200-2637

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

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Secondary Practice Locations 2

Location 11040 River Oaks Dr Ste 302Flowood, MS 39232-9575 · Phone (601) 939-9923 · Fax (601) 939-9924

Location 2970 Lakeland Dr Ste 49Jackson, MS 39216-4634 · Phone (601) 200-4850 · Fax (601) 200-4838

Other Identifiers 3

Medicaid08220070MS

OtherP02359034MS · Railroad Medicare

Other688710MS · Medicare

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Katherine Ginn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Dominic Medical Associates LLC

0.1 mi

Hospitalist

969 LAKELAND DR
Jackson, MS 39216

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

NPI 1285987578 (601) 200-5900

Jackson Pulmonary Associates, PA

0.1 mi

Pulmonary Disease

971 LAKELAND DR, SUITE 1052
Jackson, MS 39216

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

NPI 1174570584 (601) 981-9503

St. Dominic Jackson Memorial

0.1 mi

Emergency Medicine

969 LAKELAND DR
Jackson, MS 39216

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

NPI 1235173691 (601) 200-2000

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.

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.

HNI MEDICAL SERVICES OF MISSISSIPPI, LLC

Internal Medicine