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K MCDANIEL INC
NPI 1639597966
Nurse Practitioner - Primary Care in Vicksburg, MS

Active since April 03, 2014
1901 MISSION 66, VICKSBURG, MS 39180(601) 636-0097(601) 629-9969 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About K Mcdaniel Inc NPPES

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

K MCDANIEL INC (NPI 1639597966) is a healthcare organization registered as a primary care in Vicksburg, Mississippi and active in the NPI registry since April 2014. The organization lists Kay K Mcdaniel, President, as its authorized official.

NPPES Registry Identity

NPI1639597966
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameK MCDANIEL INC
Location Address1901 MISSION 66Vicksburg, MS 39180-3711
Mailing Address1901 Mission 66Vicksburg, MS 39180-3711 · (601) 636-0097 · Fax (601) 629-9969
Phone(601) 636-0097
Fax(601) 629-9969
Organization SubpartNo
Authorized OfficialKay K McdanielPresident · (601) 636-0097
Enumeration DateApril 3, 2014
Last NPPES UpdateJune 19, 2014
✔ NPI 1639597966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MS · R829001
1901 MISSION 66, Vicksburg, MS 39180
Open in Google Maps ↗

Other Identifiers 1

Medicaid00778511MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

K Mcdaniel Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20140805001170Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to K Mcdaniel Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kay Mcdaniel, FNP
Nurse Practitioner
NPI 1538100144
1901 MISSION 66
Vicksburg, MS 39180
(601) 636-8244
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 K Mcdaniel Inc's NPI number?

The NPI number for K Mcdaniel Inc is 1639597966. It was assigned to this organization in the NPPES registry on April 3, 2014.

Where is K Mcdaniel Inc located?

K Mcdaniel Inc is located at 1901 Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 636-0097.

What is K Mcdaniel Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is K Mcdaniel Inc enrolled in Medicare?

Yes. K Mcdaniel Inc is registered in the Medicare PECOS enrollment system.

When is K Mcdaniel Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through K Mcdaniel Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to K Mcdaniel Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does K Mcdaniel Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list K Mcdaniel Inc 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 K Mcdaniel Inc was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.