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

Active since July 06, 2018PECOS Enrolled
2219 GREENWAY DR, JACKSON, MS 39204(601) 983-7494 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 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 Jackson, Mississippi, licensed in Mississippi (902256) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437645017
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENDRIA SHORT
Location Address2219 GREENWAY DRJackson, MS 39204-3202
Mailing Address2219 Greenway DrJackson, MS 39204-3202
Phone(601) 983-7494
Sole ProprietorNo
Enumeration DateJuly 6, 2018
✔ 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
2219 GREENWAY DR, Jackson, MS 39204
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39204 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 5

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

KATIE RAY
Nurse Practitioner (Family)
2219 GREENWAY DR
JACKSON, MS 39204
Hinds County (601) 983-7494
FITNESS CLINIC
Physical Therapist
2219 GREENWAY DR
JACKSON, MS 39204
Hinds County (601) 983-7494
SHEILA HAWKINS PH.D, LMSW
Social Worker
2219 GREENWAY DR
JACKSON, MS 39204
Hinds County (601) 983-7494
SARAH MCGILL COTA/L
Occupational Therapy Assistant
2219 GREENWAY DR
JACKSON, MS 39204
Hinds County (601) 983-7494
FITNESS CLINIC WELLNESS
Physical Therapist
2219 GREENWAY DR
JACKSON, MS 39204
Hinds County (601) 983-7494

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 2219 Greenway Dr, Jackson, MS 39204. The listed phone number is (601) 983-7494.

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.

What insurance does Kendria Short accept?

Health plans from Molina Healthcare list Kendria Short 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 Kendria Short was last updated on July 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.