MRS. KELLY K LAND CFNP
NPI 1154369700
Nurse Practitioner in Jackson, MS
About Mrs. Kelly K Land Cfnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY K LAND CFNP (NPI 1154369700) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (R855212) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 7
Accepted 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
Mrs. Kelly K Land Cfnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Land reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Mississippi Med Center
Acute Care Hospitals · Jackson, MSMerit Health Madison
Acute Care Hospitals · Canton, MSPhysician 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.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
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 Kelly Land's NPI number?
The NPI number for Kelly Land is 1154369700. It was assigned to this individual provider in the NPPES registry on June 4, 2006.
Where is Kelly Land located?
Kelly Land practices at 2500 North State St Department Of Medicine Division Of General Internal Med, Jackson, MS 39216. The listed phone number is (601) 984-5660.
What is Kelly Land's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelly Land enrolled in Medicare?
Yes. Kelly Land 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.
Which organization bills Medicare for Kelly Land's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Land reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Land's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Land accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Kelly Land 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.
Is Kelly Land affiliated with any hospitals?
According to CMS data, Kelly Land is affiliated with University Of Mississippi Med Center and Merit Health Madison.
When was this NPI record last updated?
The NPPES record for Kelly Land was last updated on April 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mrs. Kelly K Land, CFNP · NPI 1154369700
Nurse Practitioner physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since June 4, 2006.
## Identity
- **NPI:** 1154369700 (Entity type: Individual)
- **Enumerated:** June 4, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R855212 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 NORTH STATE ST, DEPARTMENT OF MEDICINE DIVISION OF GENERAL INTERNAL MED, Jackson, MS 39216
- **Phone:** (601) 984-5660 · **Fax:** (601) 984-6870
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** April 10, 2014
- **Other identifiers:** Medicare PIN 512I500056 (MS); Medicare UPIN P39796; Medicare PIN P01097688 (MS); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1154369700) · Data from the CMS NPPES public registry.