KISHINA SHONTRELL SANDERS FNP-C
NPI 1619424330
Nurse Practitioner - Family in Ridgeland, MS
About Kishina Shontrell Sanders Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KISHINA SHONTRELL SANDERS FNP-C (NPI 1619424330) is an individual family provider in Ridgeland, Mississippi, licensed in Mississippi (901734) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Kishina Shontrell Sanders Fnp-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
2Medicare enrollment records show Kishina Sanders reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ridgeland, MS 39157
- Reassigned Medicare billing, Mississippi enrollment
- 10 clinicians in this Medicare group
Jackson, MS 39213
- Reassigned Medicare billing, Mississippi enrollment
- 69 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.
Areas of Expertise CMS Part B claims 2
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.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIDGELAND, MS 39157
RIDGELAND, MS 39157
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 Kishina Sanders's NPI number?
The NPI number for Kishina Sanders is 1619424330. It was assigned to this individual provider in the NPPES registry on September 10, 2016.
Where is Kishina Sanders located?
Kishina Sanders practices at 768 Avery Blvd N, Ridgeland, MS 39157. The listed phone number is (601) 487-6482.
What is Kishina Sanders's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kishina Sanders enrolled in Medicare?
Yes. Kishina Sanders 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 Kishina Sanders's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kishina Sanders reassigns Medicare benefits to 2 organizations: Quinn Healthcare,pllc (Ridgeland, MS) and Central Mississippi Civic Improvement Association, Inc. (Jackson, MS). 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 Kishina Sanders's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kishina Sanders accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Kishina Sanders 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 Kishina Sanders was last updated on September 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kishina Shontrell Sanders, FNP-C · NPI 1619424330
Family physician in Ridgeland, Mississippi. Individual provider, active in the CMS NPPES registry since September 10, 2016.
## Identity
- **NPI:** 1619424330 (Entity type: Individual)
- **Enumerated:** September 10, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 901734 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 768 AVERY BLVD N, Ridgeland, MS 39157-5219
- **Phone:** (601) 487-6482 · **Fax:** (601) 487-6528
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Quinn Healthcare,pllc (NPI 1821103920, Ridgeland, MS); Central Mississippi Civic Improvement Association, Inc. (NPI 1427377266, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 12, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1619424330) · Data from the CMS NPPES public registry.