KRISTEN WOMACK NP-C
NPI 1114567617
Nurse Practitioner - Family in Gloster, MS

Q: What is Kristen Womack's NPI number?

The NPI number for Kristen Womack is 1114567617. It was assigned to this individual provider in the NPPES registry on January 13, 2020.

Q: What is Kristen Womack'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 Kristen Womack was last updated on May 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 13, 2020PECOS EnrolledAccepts Medicare Assignment

434 N CAPTAIN GLOSTER DR, GLOSTER, MS 39638(601) 225-4711(601) 225-4144 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2026, Feb 3, 2021, Jan 13, 2020 (3 updates tracked since 2020).

On this page

About Kristen Womack Np-c NPPES

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

KRISTEN WOMACK NP-C (NPI 1114567617) is an individual family provider in Gloster, Mississippi, licensed in Mississippi (903770) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Southwest Ms Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1114567617

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTEN WOMACKCredential: NP-C

Location Address434 N CAPTAIN GLOSTER DRGloster, MS 39638-3401

Mailing Address434 N Captain Gloster DrGloster, MS 39638-3401 · (601) 225-4711 · Fax (601) 225-4144

Phone(601) 225-4711

Fax(601) 225-4144

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 13, 2020

Last NPPES UpdateMay 6, 20263 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1114567617 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 · 903770

434 N CAPTAIN GLOSTER DR, Gloster, MS 39638

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 from Magnolia Health and more.Insurance ›

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

Kristen Womack Np-c 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 ID1355770231

PECOS Enrollment IDI20200327000587

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 2

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

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250097

Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County

Emergency services Birthing friendly

Field Health System

Critical Access Hospitals · Centreville, MS

OwnershipGovernment - Local

CMS Certification Number251309

Location178 Highway 24Centreville, MS 39631 · Wilkinson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39638 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening

35%243 patients2/55-star benchmark: 93%

Cervical Cancer Screening

7%389 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

32%235 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

31%484 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

54%402 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

6%212 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

27%212 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

89%2,341 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

39%249 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

28%902 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

10%774 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

17%1,304 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 18% · 775 patients

Patients screened: 19% · 775 patients

73%33 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

72%281 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 242 patients

Patients totalRate: 29% · 263 patients

33%263 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers18 claims47 services$6.48 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers12 claims12 services$2.67 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers17 claims23 services$1.11 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers11 claims11 services$17.39 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

3 suppliers17 claims17 services$100.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 5

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

FIELD MEMORIAL COMMUNITY HOSPITAL

Family Medicine