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KERRIE SANDERS- SMITH
NPI 1144695669
Nurse Practitioner - Family in Vicksburg, MS

Active since December 09, 2015PECOS Enrolled
4077 PEMBERTON SQUARE BLVD, VICKSBURG, MS 39180(601) 638-8600 Get Directions Write a Review

NPPES record last updated: November 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2017, Dec 9, 2015 (2 updates tracked since 2015).

About Kerrie Sanders- Smith NPPES

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

KERRIE SANDERS- SMITH (NPI 1144695669) is an individual family provider in Vicksburg, Mississippi, licensed in Mississippi (875209) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144695669
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKERRIE SANDERS- SMITH
Location Address4077 PEMBERTON SQUARE BLVDVicksburg, MS 39180-5580
Mailing Address140 Alfred DrVicksburg, MS 39180-9102
Phone(601) 638-8600
Sole ProprietorNo
Enumeration DateDecember 9, 2015
Last NPPES UpdateNovember 3, 20172 updates tracked since enumeration
✔ NPI 1144695669 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 · 875209
4077 PEMBERTON SQUARE BLVD, Vicksburg, MS 39180
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerrie Sanders- Smith 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39180 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
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
42%258 patients2/55-star benchmark: 92%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
20%254 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
27%469 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
9%147 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,665 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
17%1,045 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 390 patients
Patients tobacco: 6% · 35 patients
80%390 patients4/55-star benchmark: 98%
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.

Other Providers at the Same Location NPPES 2

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

DEBORAH A HOOVER DNP,FNP-BC
Nurse Practitioner
4077 PEMBERTON SQUARE BLVD
VICKSBURG, MS 39180
Warren County (601) 638-8600
VICKSBURG SPECIAL CARE CLINIC LLC
Family Medicine
4077 PEMBERTON SQUARE BLVD
VICKSBURG, MS 39180
Warren County (601) 638-8600

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 Kerrie Sanders- Smith's NPI number?

The NPI number for Kerrie Sanders- Smith is 1144695669. It was assigned to this individual provider in the NPPES registry on December 9, 2015.

Where is Kerrie Sanders- Smith located?

Kerrie Sanders- Smith practices at 4077 Pemberton Square Blvd, Vicksburg, MS 39180. The listed phone number is (601) 638-8600.

What is Kerrie Sanders- Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kerrie Sanders- Smith enrolled in Medicare?

Yes. Kerrie Sanders- Smith is registered in the Medicare PECOS enrollment system.

What insurance does Kerrie Sanders- Smith accept?

Health plans from UnitedHealthcare list Kerrie Sanders- Smith 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 Kerrie Sanders- Smith was last updated on November 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.