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MRS. KIRSTI NICOLE PEAVY PA
NPI 1417284373
Physician Assistant - Medical in Shreveport, LA

Active since November 12, 2009PECOS EnrolledAccepts Medicare Assignment
2551 GREENWOOD RD, SHREVEPORT, LA 71103(318) 212-8424(318) 212-8459 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kirsti Nicole Peavy Pa NPPES

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

MRS. KIRSTI NICOLE PEAVY PA (NPI 1417284373) is an individual medical provider in Shreveport, Louisiana, licensed in Louisiana (PA200315) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1417284373
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KIRSTI NICOLE PEAVYCredential: PA
Location Address2551 GREENWOOD RDShreveport, LA 71103-3981
Mailing Address2038 Urbandale StShreveport, LA 71118-3325 · (318) 349-8179
Phone(318) 212-8424
Fax(318) 212-8459
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 12, 2009
Last NPPES UpdateMarch 30, 2016
✔ NPI 1417284373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in LA · PA200315
2551 GREENWOOD RD, Shreveport, LA 71103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kirsti Nicole Peavy Pa 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 ID8628373883
PECOS Enrollment IDI20160225001318
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.

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
106 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
58 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services13 patients

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.

ANDREW DENTINO MD AND WILLIS-KNIGHTON MEDICAL CENTER
Internal Medicine
2551 GREENWOOD RD, SUITE 310
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8780
RAYMOND A. COGHLAN MD AND WILLIS-KNIGHTON MEDICAL CENTER
Internal Medicine (Infectious Disease)
2551 GREENWOOD RD, SUITE 150
SHREVEPORT, LA 71103
Caddo Parish (318) 631-9996
CALEB HARKINS APRN, AGACNP
Nurse Practitioner (Acute Care)
2551 GREENWOOD RD, SUITE #210
SHREVEPORT, LA 71103
Caddo Parish (318) 635-0834
VIJOYDEEP RAO MD & WILLIS-KNIGHTON MEDICAL CENTER
Internal Medicine
2551 GREENWOOD RD, SUITE 310
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8780
JAMES G. HOWELL MD AND WILLIS-KNIGHTON MEDICAL CENTER
Surgery
2551 GREENWOOD RD, SUITE 310
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8780
PIERRE VALMONT BLANCHARD MD
Internal Medicine
2551 GREENWOOD RD, SUITE 410
SHREVEPORT, LA 71103
Caddo Parish (318) 621-2929
AMBROSIA T. HOLSAPPLE NP
Nurse Practitioner
2551 GREENWOOD RD, SUITE 410
SHREVEPORT, LA 71103
Caddo Parish (318) 621-2929
MR. CLAY JONES R.PH
Pharmacist
2551 GREENWOOD RD, SUITE 110
SHREVEPORT, LA 71103
Caddo Parish (318) 631-2005

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 Kirsti Peavy's NPI number?

The NPI number for Kirsti Peavy is 1417284373. It was assigned to this individual provider in the NPPES registry on November 12, 2009.

Where is Kirsti Peavy located?

Kirsti Peavy practices at 2551 Greenwood Rd, Shreveport, LA 71103. The listed phone number is (318) 212-8424.

What is Kirsti Peavy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kirsti Peavy enrolled in Medicare?

Yes. Kirsti Peavy 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.

What insurance does Kirsti Peavy accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Kirsti Peavy 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 Kirsti Peavy was last updated on March 30, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.