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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENDRIA SHORT
NPI 1437645017
Nurse Practitioner - Family in Ridgeland, MS

Active since July 06, 2018PECOS Enrolled
1000 HIGHLAND COLONY PKWY STE 5203, RIDGELAND, MS 39157(855) 212-2273(629) 240-6003 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kendria Short NPPES

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

KENDRIA SHORT (NPI 1437645017) is an individual family provider in Ridgeland, Mississippi, licensed in Mississippi (902256) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1437645017
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENDRIA SHORT
Location Address1000 HIGHLAND COLONY PKWY STE 5203Ridgeland, MS 39157-2079
Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (855) 212-2273
Phone(855) 212-2273
Fax(629) 240-6003
Sole ProprietorNo
Enumeration DateJuly 6, 2018
Last NPPES UpdateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1437645017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 902256
1000 HIGHLAND COLONY PKWY STE 5203, Ridgeland, MS 39157
Open in Google Maps ↗

Secondary Practice Location 1

Location 12219 Greenway DrJackson, MS 39204-3202 · Phone (601) 983-7494

Other Identifiers 1

Medicaid200020326MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendria Short 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

4

Medicare enrollment records show Kendria Short reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fitness Clinic Wellness
12 mi
Physical Therapist
2219 GREENWAY DR
Jackson, MS 39204
  • Reassigned Medicare billing, Mississippi enrollment
  • 26 clinicians in this Medicare group
NPI 1912352022 (601) 983-7494
Monogram Health Professional Services PC
313 mi
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Mississippi enrollment
  • 72 clinicians in this Medicare group
NPI 1326655986 (615) 673-4455
Community Care Health Network LLC
321 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Mississippi enrollment
  • 195 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627
Molina Care Connections, LLC.
1,625 mi
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Mississippi and Texas enrollments
  • 56 clinicians in this Medicare group
NPI 1407243223 (888) 562-5442

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 39157 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.

ALL IN ONE CAREGIVING LLC
In Home Supportive Care
1000 HIGHLAND COLONY PKWY STE 5203
RIDGELAND, MS 39157
Madison County (844) 422-7327
DR. AVANI KISHOR PATEL MD
Psychiatry & Neurology (Psychiatry)
1000 HIGHLAND COLONY PKWY STE 5203
RIDGELAND, MS 39157
Madison County (601) 509-2015
KINGDOM COVENANT CARE, LLC
Technician (Personal Care Attendant)
1000 HIGHLAND COLONY PKWY STE 5203
RIDGELAND, MS 39157
Madison County (601) 751-2511
LAQUITTA HUGHES FNP-C
Nurse Practitioner (Family)
1000 HIGHLAND COLONY PKWY STE 5203
RIDGELAND, MS 39157
Madison County (855) 212-2273
TANYANEKA WILSON FNP-BC
Nurse Practitioner (Family)
1000 HIGHLAND COLONY PKWY STE 5203
RIDGELAND, MS 39157
Madison County (855) 212-2273
LINDA BROWN NBCC, LPC
Counselor (Professional)
1000 HIGHLAND COLONY PKWY STE 5203
RIDGELAND, MS 39157
Madison County (601) 573-7574
LINDSEY W SIMS RDN, LD, SNS
Dietitian, Registered
1000 HIGHLAND COLONY PKWY STE 5203
RIDGELAND, MS 39157
Madison County (662) 231-5890
PRECIOUS HEARTS TRANSPORTATION, LLC
Non-emergency Medical Transport (VAN)
1000 HIGHLAND COLONY PKWY STE 5203
RIDGELAND, MS 39157
Madison County (800) 485-4848

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 Kendria Short's NPI number?

The NPI number for Kendria Short is 1437645017. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Where is Kendria Short located?

Kendria Short practices at 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157. The listed phone number is (855) 212-2273.

What is Kendria Short's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kendria Short enrolled in Medicare?

Yes. Kendria Short is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kendria Short's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendria Short reassigns Medicare benefits to 4 organizations: Fitness Clinic Wellness (Jackson, MS), Monogram Health Professional Services PC (Brentwood, TN), Community Care Health Network LLC (Nashville, TN) and Molina Care Connections, LLC. (Long Beach, CA). 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 Kendria Short's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kendria Short was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.