KATESE BLACK LASHUN RUTHERFORD
NPI 1598132771
Nurse Practitioner - Family in Tupelo, MS

Active since August 24, 2015PECOS EnrolledAccepts Medicare Assignment
96.67/100
CMS Quality Rating
499 GLOSTER CREEK VLG, TUPELO, MS 38801(662) 432-0700 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 12, 2025, Jul 10, 2025, Oct 5, 2021 (3 updates tracked since 2021).

About Katese Black Lashun Rutherford NPPES

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

KATESE BLACK LASHUN RUTHERFORD (NPI 1598132771) is an individual family provider in Tupelo, Mississippi, licensed in Mississippi (R883096) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and maintains a secondary practice location in New Albany.

NPPES Registry Identity

NPI1598132771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATESE BLACK LASHUN RUTHERFORD
Location Address499 GLOSTER CREEK VLGTupelo, MS 38801-4600
Mailing Address499 Gloster Creek Vlg Ste A1Tupelo, MS 38801-4749 · (662) 438-0700
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 24, 2015
Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1598132771 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 · R883096
499 GLOSTER CREEK VLG, Tupelo, MS 38801

Secondary Practice Location 1

Location 1200 State Highway 30 WNew Albany, MS 38652-3197 · Phone (662) 432-0700 · Fax (662) 842-0566

Accepted 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

Katese Black Lashun Rutherford 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 ID8921317900
PECOS Enrollment IDI20160324000570
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 24

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,400 services24 patients
Detection test by nucleic acid for organism, amplified probe technique 87798
A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
2,302 services162 patients
Detection test for candida species (yeast), amplified probe technique 87481
This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.
709 services162 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
656 services495 patients
Detection test by nucleic acid for multiple organisms, amplified probe(s) technique 87801
This is a test that identifies various microorganisms in your body using a method called amplified probe technique. It targets specific genetic material (nucleic acids) of the organisms, amplifying them for easy detection. This helps in diagnosing infections accurately.
532 services162 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
246 services207 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Magnolia Regional Health Center

Acute Care Hospitals · Corinth, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250009
Location611 Alcorn DriveCorinth, MS 38834 · Alcorn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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.

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.

96.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.34
Improvement Activities40

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.

Urology
499 GLOSTER CREEK VLG, SUITE A1
TUPELO, MS 38801
Pediatrics
499 GLOSTER CREEK VLG, SUITE H-3
TUPELO, MS 38801
Nurse Practitioner (Family)
499 GLOSTER CREEK VLG, STE A2
TUPELO, MS 38801
Nurse Practitioner
499 GLOSTER CREEK VLG, SUITE D-1
TUPELO, MS 38801
Licensed Practical Nurse
499 GLOSTER CREEK VLG
TUPELO, MS 38801
Social Worker (Clinical)
499 GLOSTER CREEK VLG, SUITE D-1
TUPELO, MS 38801
Nurse Practitioner
499 GLOSTER CREEK VLG, SUITE A-2
TUPELO, MS 38801
Clinic/Center (Federally Qualified Health Center (FQHC))
499 GLOSTER CREEK VLG, SUITE D-1
TUPELO, MS 38801

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 Katese Lashun Rutherford's NPI number?

The NPI number for Katese Lashun Rutherford is 1598132771. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Katese Lashun Rutherford located?

Katese Lashun Rutherford practices at 499 Gloster Creek Vlg, Tupelo, MS 38801. The listed phone number is (662) 432-0700.

What is Katese Lashun Rutherford's specialty?

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

Is Katese Lashun Rutherford enrolled in Medicare?

Yes. Katese Lashun Rutherford 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 Katese Lashun Rutherford accept?

Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Katese Lashun Rutherford 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.

Is Katese Lashun Rutherford affiliated with any hospitals?

According to CMS data, Katese Lashun Rutherford is affiliated with North Mississippi Medical Center and Magnolia Regional Health Center.

When was this NPI record last updated?

The NPPES record for Katese Lashun Rutherford was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.