DUSTIN LARUE KING CPNP-AC
NPI 1669779021
Nurse Practitioner - Acute Care in Jackson, MS

Q: What is Dustin King's NPI number?

The NPI number for Dustin King is 1669779021. It was assigned to this individual provider in the NPPES registry on February 22, 2011.

Q: What is Dustin King's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Dustin King was last updated on June 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 February 22, 2011PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 815-8151(601) 815-8152 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dustin Larue King Cpnp-ac NPPES

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

DUSTIN LARUE KING CPNP-AC (NPI 1669779021) is an individual acute care provider in Jackson, Mississippi, licensed in Mississippi (R875042) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669779021

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameDUSTIN LARUE KINGCredential: CPNP-AC

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-8151 · Fax (601) 815-8152

Phone(601) 815-8151

Fax(601) 815-8152

Sole ProprietorYes

Enumeration DateFebruary 22, 2011

Last NPPES UpdateJune 15, 2012

✔ NPI 1669779021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MS · R875042

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 2

Medicare PIN302I508806MS

Other302I500886MS · Medicare Ptan

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 from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dustin Larue King Cpnp-ac 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 39216 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 20

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

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)