KELSEY WOMACK
NPI 1679037279
Nurse Practitioner - Primary Care in Tupelo, MS
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
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelsey Womack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelsey Womack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Aberdeen, MS 39730
- Reassigned Medicare billing, Mississippi enrollment
- 168 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.
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.
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.
Patient Reviews User submitted
Reviews are submitted by site visitors and approved by a human moderator before publication.
Review by Timothy ***** December 22, 2023
5/5Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Kelsey Womack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Womack reassigns Medicare benefits to Boa Vida Hospital Of Aberdeen, Ms, LLC (Aberdeen, MS). The 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 Kelsey Womack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 2 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.
# Kelsey Womack · NPI 1679037279
Primary Care physician in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since January 28, 2019.
## Identity
- **NPI:** 1679037279 (Entity type: Individual)
- **Enumerated:** January 28, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 903154 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1114 COMMONWEALTH BLVD, Tupelo, MS 38804-9301
- **Phone:** (662) 840-6366
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Boa Vida Hospital Of Aberdeen, Ms, LLC (NPI 1710405741, Aberdeen, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2026
- **Other identifiers:** Other 903154 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1679037279) · Data from the CMS NPPES public registry.