MRS. KACIE MIRANDA PROCTOR NP-C
NPI 1558804971
Nurse Practitioner - Family in Rome, GA

Q: 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.

Q: What is Kacie Proctor's specialty?

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

Q: 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.

Active since December 02, 2016PECOS Enrolled

304 TURNER MCCALL BLVD SW, ROME, GA 30165(706) 509-5000 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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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.

NPPES Registry Identity

NPI1558804971

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KACIE MIRANDA PROCTORCredential: NP-C

Location Address304 TURNER MCCALL BLVD SWRome, GA 30165-5621

Mailing Address304 Turner Mccall Blvd SwRome, GA 30165-5621 · (706) 509-5000

Phone(706) 509-5000

Sole ProprietorYes

Enumeration DateDecember 2, 2016

Last NPPES UpdateApril 12, 2017

✔ NPI 1558804971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN230749

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN230749 (GA)

304 TURNER MCCALL BLVD SW, Rome, GA 30165

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Other Names 1

Former Name (1)Miss Kacie Miranda Minter

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kacie Miranda Proctor Np-c 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 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.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%139 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CHARLES BROWN NP

Nurse Practitioner (Neonatal)