KATHERINE ETHRIDGE SUMMERS CPNP
NPI 1326682998
Nurse Practitioner - Pediatrics in Ruleville, MS

Active since November 06, 2019PECOS Enrolled
840 N OAK AVE, RULEVILLE, MS 38771(662) 756-4024 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2021, Nov 6, 2019 (2 updates tracked since 2019).

About Katherine Ethridge Summers Cpnp NPPES

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

KATHERINE ETHRIDGE SUMMERS CPNP (NPI 1326682998) is an individual pediatrics provider in Ruleville, Mississippi, licensed in Mississippi (904945) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326682998
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHERINE ETHRIDGE SUMMERSCredential: CPNP
Location Address840 N OAK AVERuleville, MS 38771-3227
Mailing Address1110 Deering StCleveland, MS 38732-3127 · (205) 382-0935
Sole ProprietorYes
Enumeration DateNovember 6, 2019
Last NPPES UpdateOctober 8, 20212 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
✔ NPI 1326682998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MS · 904945
840 N OAK AVE, Ruleville, MS 38771

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Ethridge Summers Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Katherine Summers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
840 N OAK AVE
Ruleville, MS 38771
  • Reassigned Medicare billing, Mississippi enrollment
  • 109 clinicians in this Medicare group
Family Medicine
965 AVENT DR, SUITE 100A
Grenada, MS 38901
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 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 38771 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 20

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

Nurse Practitioner
840 N OAK AVE
RULEVILLE, MS 38771
Hospitalist
840 N OAK AVE
RULEVILLE, MS 38771
Nurse Practitioner
840 N OAK AVE
RULEVILLE, MS 38771
Nurse Practitioner (Family)
840 N OAK AVE
RULEVILLE, MS 38771
Dentist (Oral and Maxillofacial Surgery)
840 N OAK AVE
RULEVILLE, MS 38771
Nurse Anesthetist, Certified Registered
840 N OAK AVE
RULEVILLE, MS 38771
Clinic/Center (Rural Health)
840 N OAK AVE
RULEVILLE, MS 38771
Massage Therapist
840 N OAK AVE
RULEVILLE, MS 38771

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 Katherine Summers's NPI number?

The NPI number for Katherine Summers is 1326682998. It was assigned to this individual provider in the NPPES registry on November 6, 2019.

Where is Katherine Summers located?

Katherine Summers practices at 840 N Oak Ave, Ruleville, MS 38771. The listed phone number is (662) 756-4024.

What is Katherine Summers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Katherine Summers enrolled in Medicare?

Yes. Katherine Summers is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katherine Summers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Summers reassigns Medicare benefits to 2 organizations: North Sunflower Medical Center (Ruleville, MS) and State Of Mississippi-University Of Mississippi Medical Center (Grenada, 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 Katherine Summers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Summers accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Katherine Summers 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 Katherine Summers was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.