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KIMBERLY B. OUTLAW FNP
NPI 1649829284
Nurse Practitioner - Family in Fulton, MS

Active since September 06, 2019PECOS EnrolledAccepts Medicare Assignment
407 INTERCHANGE DR, FULTON, MS 38843(662) 205-5775(662) 269-9201 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2025, Jun 11, 2024, Feb 12, 2022 and 2 more (5 updates tracked since 2019).

About Kimberly B. Outlaw Fnp NPPES

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

KIMBERLY B. OUTLAW FNP (NPI 1649829284) is an individual family provider in Fulton, Mississippi, licensed in Mississippi (903420) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649829284
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY B. OUTLAWCredential: FNP
Location Address407 INTERCHANGE DRFulton, MS 38843-6029
Mailing Address407 Interchange DrFulton, MS 38843-6029 · (662) 205-5775 · Fax (662) 269-9201
Phone(662) 205-5775
Fax(662) 269-9201
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 6, 2019
Last NPPES UpdateMay 28, 20255 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1649829284 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 · 903420
407 INTERCHANGE DR, Fulton, MS 38843
Open in Google Maps ↗

Other Identifiers 1

Medicaid931617MS

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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly B. Outlaw Fnp 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 ID3274969407
PECOS Enrollment IDI20200207000728
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kimberly Outlaw reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Redmed, LLC
38 mi
Urgent Care
12 BROOKS XING
Pontotoc, MS 38863
  • Reassigned Medicare billing, Mississippi enrollment
  • 118 clinicians in this Medicare group
NPI 1437589157 (662) 489-4044
Physicians Urgent Care Of Corinth, LLC
45 mi
General Practice
2601 GETWELL RD STE 1
Corinth, MS 38834
  • Reassigned Medicare billing, Mississippi enrollment
  • 55 clinicians in this Medicare group
NPI 1316059405 (662) 287-7138
Fast Pace Mississippi, PLLC
46 mi
Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 463 clinicians in this Medicare group
NPI 1447769559 (662) 587-8206
Medexpress Urgent Care, PC - Virginia
425 mi
Urgent Care
1583 N MAIN ST STE A
Marion, VA 24354
  • Reassigned Medicare billing, Virginia enrollment
  • 156 clinicians in this Medicare group
NPI 1528581063 (276) 782-1173
Signify Health, LLC
498 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Mississippi enrollment
  • 202 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
172 services167 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
130 services130 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
126 services63 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
94 services94 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
59 services57 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38843 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALANTA JADE GOGGINS FNP-C
Nurse Practitioner (Family)
407 INTERCHANGE DR
FULTON, MS 38843
Itawamba County (662) 205-5775
APRIL MARIE HARRIS MSN, BSN, RN
Nurse Practitioner (Family)
407 INTERCHANGE DR
FULTON, MS 38843
Itawamba County (662) 205-5775
REDMED, LLC
Durable Medical Equipment & Medical Supplies
407 INTERCHANGE DR
FULTON, MS 38843
Itawamba County (662) 205-5775
REDMED, LLC
Clinic/Center (Rural Health)
407 INTERCHANGE DR
FULTON, MS 38843
Itawamba County (662) 205-5775

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 Kimberly Outlaw's NPI number?

The NPI number for Kimberly Outlaw is 1649829284. It was assigned to this individual provider in the NPPES registry on September 6, 2019.

Where is Kimberly Outlaw located?

Kimberly Outlaw practices at 407 Interchange Dr, Fulton, MS 38843. The listed phone number is (662) 205-5775.

What is Kimberly Outlaw's specialty?

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

Is Kimberly Outlaw enrolled in Medicare?

Yes. Kimberly Outlaw 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 Kimberly Outlaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Outlaw reassigns Medicare benefits to 5 organizations: Redmed, LLC (Pontotoc, MS), Physicians Urgent Care Of Corinth, LLC (Corinth, MS), Fast Pace Mississippi, PLLC (Ripley, MS), Medexpress Urgent Care, PC - Virginia (Marion, VA) and Signify Health, LLC (Dallas, TX). 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 Kimberly Outlaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Outlaw accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Kimberly Outlaw 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 Kimberly Outlaw was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.