KATHRYN GOSS NP
NPI 1205528833
Nurse Practitioner in Southaven, MS

Active since May 23, 2023PECOS EnrolledAccepts Medicare Assignment
1161 CHURCH ROAD W, SOUTHAVEN, MS 38671(662) 253-1067(662) 253-1068 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kathryn Goss Np NPPES

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

KATHRYN GOSS NP (NPI 1205528833) is an individual nurse practitioner in Southaven, Mississippi, licensed in Mississippi (905946) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205528833
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHRYN GOSSCredential: NP
Location Address1161 CHURCH ROAD WSouthaven, MS 38671-7144
Mailing AddressPo Box 306415Nashville, TN 37230-6415 · (931) 253-1110
Fax(662) 253-1068
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 23, 2023
NPPES CertifiedMay 12, 2023
✔ NPI 1205528833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 905946
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1161 CHURCH ROAD W, Southaven, MS 38671

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

Kathryn Goss Np 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 ID1759748742
PECOS Enrollment IDI20230607000184
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

3

Medicare enrollment records show Kathryn Goss reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 463 clinicians in this Medicare group
Urgent Care
12 BROOKS XING
Pontotoc, MS 38863
  • Reassigned Medicare billing, Mississippi enrollment
  • 118 clinicians in this Medicare group
General Practice
2601 GETWELL RD STE 1
Corinth, MS 38834
  • Reassigned Medicare billing, Mississippi enrollment
  • 55 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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 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

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

Nurse Practitioner (Family)
1161 CHURCH ROAD W
SOUTHAVEN, MS 38671

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 Kathryn Goss's NPI number?

The NPI number for Kathryn Goss is 1205528833. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Kathryn Goss located?

Kathryn Goss practices at 1161 Church Road W, Southaven, MS 38671. The listed phone number is (662) 253-1067.

What is Kathryn Goss's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kathryn Goss enrolled in Medicare?

Yes. Kathryn Goss 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 Kathryn Goss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Goss reassigns Medicare benefits to 3 organizations: Fast Pace Mississippi, PLLC (Ripley, MS), Redmed, LLC (Pontotoc, MS) and Physicians Urgent Care Of Corinth, LLC (Corinth, 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 Kathryn Goss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Goss 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 Kathryn Goss 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.

When was this NPI record last updated?

The NPPES record for Kathryn Goss was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.