KRISTEN INGRAM
NPI 1689055089
Nurse Practitioner - Gerontology in Hattiesburg, MS

Q: What is Kristen Ingram's NPI number?

The NPI number for Kristen Ingram is 1689055089. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Q: What is Kristen Ingram's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Ingram was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 11, 2015PECOS Enrolled

200 HOSPITAL DR W, HATTIESBURG, MS 39402(601) 296-3000(601) 296-3001 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Mar 6, 2019, Jun 17, 2016 (3 updates tracked since 2016).

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About Kristen Ingram NPPES

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

KRISTEN INGRAM (NPI 1689055089) is an individual gerontology provider in Hattiesburg, Mississippi, licensed in Mississippi (R887211) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689055089

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKRISTEN INGRAM

Location Address200 HOSPITAL DR WHattiesburg, MS 39402-1346

Mailing Address200 Hospital Dr WHattiesburg, MS 39402-1346 · (601) 296-3000 · Fax (601) 296-3001

Phone(601) 296-3000

Fax(601) 296-3001

Sole ProprietorNo

Enumeration DateJune 11, 2015

Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration

✔ NPI 1689055089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MS · R887211

200 HOSPITAL DR W, Hattiesburg, MS 39402

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Other Identifiers 1

Medicaid05789651MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Ingram 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 39402 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 6

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

ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND

Specialist