MRS. KIMBERLY CATHLEEN MARTIN PMHNP
NPI 1316418361
Nurse Practitioner - Psychiatric/Mental Health in Kokomo, MS

Active since December 16, 2018PECOS EnrolledAccepts Medicare Assignment
607 OLD HIGHWAY 24 W, KOKOMO, MS 39643(601) 674-0508 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2025, Jan 22, 2021, Jan 14, 2019 and 1 more (4 updates tracked since 2018).

About Mrs. Kimberly Cathleen Martin Pmhnp NPPES

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

MRS. KIMBERLY CATHLEEN MARTIN PMHNP (NPI 1316418361) is an individual psychiatric/mental health provider in Kokomo, Mississippi, licensed in Mississippi (902882) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bogalusa, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316418361
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. KIMBERLY CATHLEEN MARTINCredential: PMHNP
Location Address607 OLD HIGHWAY 24 WKokomo, MS 39643-5052
Mailing Address607 Old Highway 24 WKokomo, MS 39643-5052 · (601) 674-0508
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 16, 2018
Last NPPES UpdateFebruary 6, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1316418361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MS · 902882✔ Licensed in LA · 202024
607 OLD HIGHWAY 24 W, Kokomo, MS 39643

Other Names 1

Former Name (1)Kimberly K Lee-moss

Secondary Practice Location 1

Location 1433 Plaza StBogalusa, LA 70427-3729 · Phone (985) 730-6700 · Fax (985) 730-6713

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

Mrs. Kimberly Cathleen Martin Pmhnp 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 ID4183965767
PECOS Enrollment IDI20190409000107
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

2

Medicare enrollment records show Kimberly Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
433 PLAZA ST
Bogalusa, LA 70427
  • Reassigned Medicare billing, Louisiana enrollment
  • 129 clinicians in this Medicare group
Family Medicine
44354 HIGHWAY 445, SUITE D
Robert, LA 70455
  • Reassigned Medicare billing, Louisiana enrollment
  • 7 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39643 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)
607 OLD HIGHWAY 24 W
KOKOMO, MS 39643

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 Martin's NPI number?

The NPI number for Kimberly Martin is 1316418361. It was assigned to this individual provider in the NPPES registry on December 16, 2018. The provider is also known as Kimberly K Lee-Moss.

Where is Kimberly Martin located?

Kimberly Martin practices at 607 Old Highway 24 W, Kokomo, MS 39643. The listed phone number is (601) 674-0508.

What is Kimberly Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kimberly Martin enrolled in Medicare?

Yes. Kimberly Martin 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 Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Martin reassigns Medicare benefits to 2 organizations: Our Lady Of The Angels Hospital, Inc. (Bogalusa, LA) and Total Family Medical, LLC (Robert, LA). 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 Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Martin accept?

Health plans from HMO Louisiana and UnitedHealthcare list Kimberly Martin 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 Kimberly Martin was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.