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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Other Identifiers 1

Medicaid05789651MS

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kristen Ingram reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Surgical Associates, P. A.
0.2 mi
Specialist
139 FAIRFIELD DR
Hattiesburg, MS 39402
  • Reassigned Medicare billing, Mississippi enrollment
  • 6 clinicians in this Medicare group
NPI 1265551162 (601) 450-2401
Pioneer Health Care , LLC
25 mi
General Practice
4297 HWY 42
Bassfield, MS 39421
  • Reassigned Medicare billing, Mississippi enrollment
  • 40 clinicians in this Medicare group
NPI 1336384742 (601) 550-3153

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 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
200 HOSPITAL DR W
HATTIESBURG, MS 39402
Lamar County (504) 988-2300
DR. GARDNER FLETCHER MD
Internal Medicine
200 HOSPITAL DR W
HATTIESBURG, MS 39402
Lamar County (601) 296-3000
PACIFIC PHYSICIAN SERVICES, LLC
General Practice
200 HOSPITAL DR W
HATTIESBURG, MS 39402
Lamar County (601) 296-3000
HEARTCARE OF SOUTHERN MISSISSIPPI
Internal Medicine (Cardiovascular Disease)
200 HOSPITAL DR W
HATTIESBURG, MS 39402
Lamar County (601) 296-2140
DR. MICHAEL W LOWRY M.D.
Neurological Surgery
200 HOSPITAL DR W
HATTIESBURG, MS 39402
Lamar County (601) 296-3000
DR. JERRY DONALD HYER JR. MD
Internal Medicine
200 HOSPITAL DR W
HATTIESBURG, MS 39402
Lamar County (601) 296-3000

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 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.

Where is Kristen Ingram located?

Kristen Ingram practices at 200 Hospital Dr W, Hattiesburg, MS 39402. The listed phone number is (601) 296-3000.

What is Kristen Ingram's specialty?

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

Is Kristen Ingram enrolled in Medicare?

Yes. Kristen Ingram is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristen Ingram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Ingram reassigns Medicare benefits to 2 organizations: Southern Surgical Associates, P. A. (Hattiesburg, MS) and Pioneer Health Care , LLC (Bassfield, MS). 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 Kristen Ingram'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 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.