KIMBERLY CARSON FNP-BC
NPI 1174052773
Nurse Practitioner - Family in Jackson, MS

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
1832 HOSPITAL DR, JACKSON, MS 39204(601) 371-8883(844) 318-4882 Get Directions Write a Review

NPPES record last updated: August 28, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 28, 2017, Jun 7, 2017 (2 updates tracked since 2017).

About Kimberly Carson Fnp-bc NPPES

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

KIMBERLY CARSON FNP-BC (NPI 1174052773) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (902048) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Southwest Ms Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174052773
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY CARSONCredential: FNP-BC
Location Address1832 HOSPITAL DRJackson, MS 39204-3410
Mailing Address286 Funches RdVicksburg, MS 39180-8037 · (214) 620-4927
Fax(844) 318-4882
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 7, 2017
Last NPPES UpdateAugust 28, 20172 updates tracked since enumeration
NPI 1174052773 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 · 902048
1832 HOSPITAL DR, Jackson, MS 39204

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

Kimberly Carson Fnp-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 ID7810288818
PECOS Enrollment IDI20170727002711
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



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.12 for a new patient copayment and $23.05 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 39204 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $80.5
  • Minimum New Patient Price $51.65
  • Maximum New Patient Price $159.18
  • Average New Patient Copayment $20.12
  • Minimum New Patient Copayment $12.91
  • Maximum New Patient Copayment $39.79

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $92.2
  • Minimum Established Patient Price $16.15
  • Maximum Established Patient Price $129.61
  • Average Established Patient Copayment $23.05
  • Minimum Established Patient Copayment $4.03
  • Maximum Established Patient Copayment $32.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kimberly Carson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SOUTHWEST MS REGIONAL MEDICAL CENTER215 MARION AV BOX 1307
MCCOMB, MS 39649
(601) 249-5500Acute Care Hospitals

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Clinic/Center (Primary Care)
1832 HOSPITAL DR
JACKSON, MS 39204
Clinic/Center (Mental Health (Including Community Mental Health Center))
1832 HOSPITAL DR
JACKSON, MS 39204
Clinic/Center (Primary Care)
1832 HOSPITAL DR
JACKSON, MS 39204
Physical Therapist
1832 HOSPITAL DR
JACKSON, MS 39204
Clinic/Center (Mental Health (Including Community Mental Health Center))
1832 HOSPITAL DR
JACKSON, MS 39204
Nurse Practitioner (Psychiatric/Mental Health)
1832 HOSPITAL DR
JACKSON, MS 39204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174052773, enumerated as an "individual" on June 07, 2017.

The provider is located at 1832 HOSPITAL DR JACKSON, MS 39204 and the phone number is (601) 371-8883.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Kimberly Carson is affiliated with: SOUTHWEST MS REGIONAL MEDICAL CENTER.