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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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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

Phone(601) 371-8883

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

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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.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39204 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 6

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

PATIENT'S CHOICE MEDICAL CLINIC OF JACKSON

Clinic/Center (Primary Care)