KELLI ELIZABETH PRUITT
NPI 1285049254
Nurse Practitioner - Family in Jackson, MS
About Kelli Elizabeth Pruitt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI ELIZABETH PRUITT (NPI 1285049254) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R883741) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Kelli Elizabeth Pruitt 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 Kelli Pruitt reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 50 clinicians in this Medicare group
Magee, MS 39111
- Reassigned Medicare billing, Mississippi enrollment
- 39 clinicians in this Medicare group
Mccomb, MS 39648
- Reassigned Medicare billing, Mississippi enrollment
- 29 clinicians in this Medicare group
Picayune, MS 39466
- Reassigned Medicare billing, Mississippi enrollment
- 38 clinicians in this Medicare group
Gulfport, MS 39503
- Reassigned Medicare billing, Mississippi enrollment
- 65 clinicians in this Medicare group
Diberville, MS 39540
- Reassigned Medicare billing, Mississippi enrollment
- 47 clinicians in this Medicare group
Ocean Springs, MS 39564
- Reassigned Medicare billing, Mississippi enrollment
- 64 clinicians in this Medicare group
Pascagoula, MS 39567
- Reassigned Medicare billing, Mississippi enrollment
- 51 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
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 Kelli Pruitt's NPI number?
The NPI number for Kelli Pruitt is 1285049254. It was assigned to this individual provider in the NPPES registry on June 27, 2014.
Where is Kelli Pruitt located?
Kelli Pruitt practices at 2969 Curran Dr N, Jackson, MS 39216. The listed phone number is (601) 540-5598.
What is Kelli Pruitt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelli Pruitt enrolled in Medicare?
Yes. Kelli Pruitt 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 Kelli Pruitt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Pruitt reassigns Medicare benefits to 8 organizations: Maxem Health Urgent Care Flowood (Flowood, MS), Maxem Health Urgent Care Magee (Magee, MS), Maxem Health Urgent Care Mccomb (Mccomb, MS), Picayune Urgent Care Clinic, LLC (Picayune, MS), Orange Grove Urgent Care (Gulfport, 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 Kelli Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelli Pruitt accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 8 other insurers list Kelli Pruitt 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 Kelli Pruitt was last updated on May 31, 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.
# Kelli Elizabeth Pruitt · NPI 1285049254
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since June 27, 2014.
## Identity
- **NPI:** 1285049254 (Entity type: Individual)
- **Enumerated:** June 27, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R883741 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2969 CURRAN DR N, Jackson, MS 39216-4121
- **Phone:** (601) 540-5598
## 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): Maxem Health Urgent Care Flowood (NPI 1174070650, Flowood, MS); Maxem Health Urgent Care Magee (NPI 1235669136, Magee, MS); Maxem Health Urgent Care Mccomb (NPI 1235619479, Mccomb, MS); Picayune Urgent Care Clinic, LLC (NPI 1780723502, Picayune, MS); Orange Grove Urgent Care (NPI 1831330661, Gulfport, MS); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 31, 2023
- **Other identifiers:** Medicaid 07407051 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1285049254) · Data from the CMS NPPES public registry.