1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Nurse Practitioner
  6. NPI Profile

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: October 18, 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
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
Open in Google Maps ↗

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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kimberly Carson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brentwood Acquisition Inc
9.5 mi
Psychiatric Hospital
3531 LAKELAND DR
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 14 clinicians in this Medicare group
NPI 1487638441 (601) 936-2024
Gateway Behavioral Health Services
36 mi
Mental Health (Including Community Mental Health Center)
2705 CLAY ST
Vicksburg, MS 39183
  • Reassigned Medicare billing, Mississippi enrollment
  • 5 clinicians in this Medicare group
NPI 1306362082 (601) 661-9752
Gateway Wellness Clinic
36 mi
Primary Care
1016 MISSION 66
Vicksburg, MS 39183
  • Reassigned Medicare billing, Mississippi enrollment
NPI 1881567568 (601) 218-0969
Fast Pace Mississippi, PLLC
185 mi
Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 463 clinicians in this Medicare group
NPI 1447769559 (662) 587-8206

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CARE THERAPY SOLUTIONS
Physical Therapist
1832 HOSPITAL DR
JACKSON, MS 39204
Hinds County (601) 586-9590
PREMIER CHOICE BEHAVIORAL HEALTH AND WELLNESS CLINIC, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1832 HOSPITAL DR
JACKSON, MS 39204
Hinds County (601) 371-8883
PATIENTS CHOICE COMMUNITY MENTAL HEALTH CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
1832 HOSPITAL DR
JACKSON, MS 39204
Hinds County (601) 218-7880
PREMIER CHOICE HEALTHCARE AND EDUCATIONAL SERVICES
Clinic/Center (Primary Care)
1832 HOSPITAL DR
JACKSON, MS 39204
Hinds County (214) 620-4927
CHRISTOPHER CARSON FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1832 HOSPITAL DR
JACKSON, MS 39204
Hinds County (601) 371-8883
PATIENT'S CHOICE MEDICAL CLINIC OF JACKSON
Clinic/Center (Primary Care)
1832 HOSPITAL DR
JACKSON, MS 39204
Hinds County (601) 218-7880

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 Kimberly Carson's NPI number?

The NPI number for Kimberly Carson is 1174052773. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Kimberly Carson located?

Kimberly Carson practices at 1832 Hospital Dr, Jackson, MS 39204. The listed phone number is (601) 371-8883.

What is Kimberly Carson's specialty?

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

Is Kimberly Carson enrolled in Medicare?

Yes. Kimberly Carson 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 organizations bill Medicare for Kimberly Carson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Carson reassigns Medicare benefits to 4 organizations: Brentwood Acquisition Inc (Flowood, MS), Gateway Behavioral Health Services (Vicksburg, MS), Gateway Wellness Clinic (Vicksburg, MS) and Fast Pace Mississippi, PLLC (Ripley, MS). Each 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 Kimberly Carson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Carson accept?

Health plans from Cigna Healthcare list Kimberly Carson 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 Kimberly Carson affiliated with any hospitals?

According to CMS data, Kimberly Carson is affiliated with Southwest Ms Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Carson was last updated on August 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.