MRS. KACIE MIRANDA PROCTOR NP-C
NPI 1558804971
Nurse Practitioner - Family in Rome, GA
About Mrs. Kacie Miranda Proctor Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KACIE MIRANDA PROCTOR NP-C (NPI 1558804971) is an individual family provider in Rome, Georgia, licensed in Georgia (RN230749) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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. Kacie Miranda Proctor Np-c 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kacie Proctor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 343 clinicians in this Medicare group
Rockmart, GA 30153
- Reassigned Medicare billing, Georgia enrollment
Norcross, GA 30093
- Reassigned Medicare billing, Georgia enrollment
- 78 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 30165 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
ROME, GA 30165
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 Kacie Proctor's NPI number?
The NPI number for Kacie Proctor is 1558804971. It was assigned to this individual provider in the NPPES registry on December 2, 2016. The provider is also known as Miss Kacie Miranda Minter.
Where is Kacie Proctor located?
Kacie Proctor practices at 304 Turner Mccall Blvd SW, Rome, GA 30165. The listed phone number is (706) 509-5000.
What is Kacie Proctor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kacie Proctor enrolled in Medicare?
Yes. Kacie Proctor 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 Kacie Proctor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kacie Proctor reassigns Medicare benefits to 3 organizations: 24 On Physicians, PC (Rome, GA), Wecare Health And Wellness LLC (Rockmart, GA) and Pruitthealth Physicians Services, LLC (Norcross, GA). 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 Kacie Proctor'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 Kacie Proctor was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mrs. Kacie Miranda Proctor, NP-C · NPI 1558804971
Family physician in Rome, Georgia. Individual provider, active in the CMS NPPES registry since December 2, 2016.
## Identity
- **NPI:** 1558804971 (Entity type: Individual)
- **Enumerated:** December 2, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN230749 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 304 TURNER MCCALL BLVD SW, Rome, GA 30165-5621
- **Phone:** (706) 509-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): 24 On Physicians, PC (NPI 1912956251, Rome, GA); Wecare Health And Wellness LLC (NPI 1013833672, Rockmart, GA); Pruitthealth Physicians Services, LLC (NPI 1043676299, Norcross, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 12, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1558804971) · Data from the CMS NPPES public registry.