Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELSEY WOMACK
NPI 1679037279
Nurse Practitioner - Primary Care in Tupelo, MS

Active since January 28, 2019PECOS Enrolled
1114 COMMONWEALTH BLVD, TUPELO, MS 38804(662) 840-6366 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2026, Jan 28, 2019 (2 updates tracked since 2019).

About Kelsey Womack NPPES

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

KELSEY WOMACK (NPI 1679037279) is an individual primary care provider in Tupelo, Mississippi, licensed in Mississippi (903154) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679037279
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKELSEY WOMACK
Location Address1114 COMMONWEALTH BLVDTupelo, MS 38804-9301
Mailing Address1114 Commonwealth BlvdTupelo, MS 38804-9301 · (662) 840-6366
Sole ProprietorNo
Enumeration DateJanuary 28, 2019
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1679037279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MS · 903154
Also ListedFamily MedicineTaxonomy 207Q00000X · License 903154 (MS)
1114 COMMONWEALTH BLVD, Tupelo, MS 38804

Other Identifiers 1

Other903154MS · Nurse Practitioner License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelsey Womack 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 38804 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers21 claims21 services$20.23 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$6.42 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$114.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Timothy ***** December 22, 2023

5/5
Dr. Womack is very concerned, professional, and more than willing to help. She will listen and take action.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 3

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

Dietitian, Registered
1114 COMMONWEALTH BLVD
TUPELO, MS 38804
Physical Therapy Assistant
1114 COMMONWEALTH BLVD
TUPELO, MS 38804
Physical Therapy Assistant
1114 COMMONWEALTH BLVD
TUPELO, MS 38804

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 Kelsey Womack's NPI number?

The NPI number for Kelsey Womack is 1679037279. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Where is Kelsey Womack located?

Kelsey Womack practices at 1114 Commonwealth Blvd, Tupelo, MS 38804. The listed phone number is (662) 840-6366.

What is Kelsey Womack's specialty?

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

Is Kelsey Womack enrolled in Medicare?

Yes. Kelsey Womack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Womack was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.