DR. KRISTINA DENISE VAUGHN M.D.
NPI 1174770168
Internal Medicine in Jackson, MS
About Dr. Kristina Denise Vaughn M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTINA DENISE VAUGHN M.D. (NPI 1174770168) is an individual internal medicine provider in Jackson, Mississippi, licensed in Mississippi (21722) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of University Of Mississippi School Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Kristina Denise Vaughn M.d. 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 Reassignments
8Medicare enrollment records show Kristina Vaughn reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39202
- Reassigned Medicare billing, Mississippi enrollment
- 154 clinicians in this Medicare group
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 109 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 8 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 32 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 89 clinicians in this Medicare group
Jackson, MS 39204
- Reassigned Medicare billing, Mississippi enrollment
- 170 clinicians in this Medicare group
Vicksburg, MS 39180
- Reassigned Medicare billing, Mississippi enrollment
- 180 clinicians in this Medicare group
Greenville, MS 38703
- Reassigned Medicare billing, Mississippi enrollment
- 164 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 4
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Dominic-Jackson Memorial Hospital
Acute Care Hospitals · Jackson, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39202 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 3
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39202
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 Kristina Vaughn's NPI number?
The NPI number for Kristina Vaughn is 1174770168. It was assigned to this individual provider in the NPPES registry on August 21, 2008.
Where is Kristina Vaughn located?
Kristina Vaughn practices at 1225 N State St, Jackson, MS 39202. The listed phone number is (601) 664-1300.
What is Kristina Vaughn's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kristina Vaughn enrolled in Medicare?
Yes. Kristina Vaughn 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 Kristina Vaughn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Vaughn reassigns Medicare benefits to 8 organizations: Mississippi Baptist Medical Center, Inc. (Jackson, MS), Rh Mississippi Hospitalist Medicine, LLC (Jackson, MS), Accentcare Medical Group Of Mississippi, PC (Flowood, MS), Heal All Wound Care LLC (Flowood, MS), Mdb Care Management LLC (Flowood, MS) and 3 more organizations, listed in the Medicare section above. 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 Kristina Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina Vaughn accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Kristina Vaughn 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 Kristina Vaughn affiliated with any hospitals?
According to CMS data, Kristina Vaughn is affiliated with St Dominic-Jackson Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kristina Vaughn was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Kristina Denise Vaughn, M.D. · NPI 1174770168
Internal Medicine physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since August 21, 2008.
## Identity
- **NPI:** 1174770168 (Entity type: Individual)
- **Enumerated:** August 21, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 21722 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1225 N STATE ST, Jackson, MS 39202-2064
- **Phone:** (601) 664-1300 · **Fax:** (601) 292-4262
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Mississippi Baptist Medical Center, Inc. (NPI 1467589556, Jackson, MS); Rh Mississippi Hospitalist Medicine, LLC (NPI 1891541207, Jackson, MS); Accentcare Medical Group Of Mississippi, PC (NPI 1346084100, Flowood, MS); Heal All Wound Care LLC (NPI 1093554982, Flowood, MS); Mdb Care Management LLC (NPI 1144925272, Flowood, MS); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** March 27, 2012
- **Other identifiers:** Medicaid 08952552 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1174770168) · Data from the CMS NPPES public registry.