CASSANDRA L KINGSTON PMHNP-BC
NPI 1144714353
Nurse Practitioner - Psychiatric/Mental Health in Brandon, MS

Q: What is Cassandra Kingston's NPI number?

The NPI number for Cassandra Kingston is 1144714353. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Q: What is Cassandra Kingston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since June 20, 2018PECOS EnrolledAccepts Medicare Assignment

557 GRANTS FERRY RD, BRANDON, MS 39047(601) 665-4162(855) 830-3484 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 10, 2023, Dec 21, 2022, Oct 15, 2020 and 1 more (4 updates tracked since 2018).

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About Cassandra L Kingston Pmhnp-bc NPPES

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

CASSANDRA L KINGSTON PMHNP-BC (NPI 1144714353) is an individual psychiatric/mental health provider in Brandon, Mississippi, licensed in Mississippi (902595) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jackson, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1144714353

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCASSANDRA L KINGSTONCredential: PMHNP-BC

Location Address557 GRANTS FERRY RDBrandon, MS 39047-9023

Mailing Address557 Grants Ferry RdBrandon, MS 39047-9023 · (601) 665-4162 · Fax (855) 830-3484

Phone(601) 665-4162

Fax(855) 830-3484

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 20, 2018

Last NPPES UpdateFebruary 10, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2023

✔ NPI 1144714353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MS · 902595

557 GRANTS FERRY RD, Brandon, MS 39047

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Secondary Practice Location 1

Location 1341 Edgewood Terrace DrJackson, MS 39206-6217 · Phone (601) 487-6344 · Fax (601) 398-0289

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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

Cassandra L Kingston Pmhnp-bc 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 ID2567799679

PECOS Enrollment IDI20190813001362

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

Positive Pathways, LLC

50 mi

Mental Health (Including Community Mental Health Center)

1905 MISSION 66
Vicksburg, MS 39180

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

NPI 1801335492 (601) 813-5878

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 39047 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 9

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

MS. ROSALIN MARIE LANDREWS

Social Worker (Clinical)