KENNETH TINSLEY NURSE PRACTITIONER
NPI 1700983285
Nurse Practitioner - Family in Jackson, MS
About Kenneth Tinsley Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH TINSLEY NURSE PRACTITIONER (NPI 1700983285) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R858628) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth Tinsley Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
14Medicare enrollment records show Kenneth Tinsley reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 136 clinicians in this Medicare group
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 31 clinicians in this Medicare group
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 109 clinicians in this Medicare group
Jackson, MS 39211
- Reassigned Medicare billing, Mississippi enrollment
- 49 clinicians in this Medicare group
Jackson, MS 39204
- Reassigned Medicare billing, Mississippi enrollment
- 187 clinicians in this Medicare group
Prentiss, MS 39474
- Reassigned Medicare billing, Mississippi enrollment
- 58 clinicians in this Medicare group
Prentiss, MS 39474
- Reassigned Medicare billing, Mississippi enrollment
- 58 clinicians in this Medicare group
Bude, MS 39630
- Reassigned Medicare billing, Mississippi enrollment
- 51 clinicians in this Medicare group
Tylertown, MS 39667
- Reassigned Medicare billing, Mississippi enrollment
- 61 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Dominic-Jackson Memorial Hospital
Acute Care Hospitals · Jackson, MSPhysician 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
JACKSON, MS 39216
JACKSON, MS 39216
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 Kenneth Tinsley's NPI number?
The NPI number for Kenneth Tinsley is 1700983285. It was assigned to this individual provider in the NPPES registry on September 19, 2006.
Where is Kenneth Tinsley located?
Kenneth Tinsley practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5571.
What is Kenneth Tinsley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kenneth Tinsley enrolled in Medicare?
Yes. Kenneth Tinsley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kenneth Tinsley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Tinsley reassigns Medicare benefits to 14 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), St. Dominic Medical Associates LLC (Jackson, MS), Relias Emergency Medicine Specialists Of St Dominic LLC (Jackson, MS), Rh Mississippi Hospitalist Medicine, LLC (Jackson, MS), Quad Intermed Company LLC (Jackson, MS) and 9 more organizations, listed in the Medicare section above. 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 Kenneth Tinsley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Tinsley accept?
Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Molina Healthcare and Oscar Health Plan, Inc. list Kenneth Tinsley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kenneth Tinsley affiliated with any hospitals?
According to CMS data, Kenneth Tinsley is affiliated with St Dominic-Jackson Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kenneth Tinsley was last updated on February 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kenneth Tinsley, NURSE PRACTITIONER · NPI 1700983285
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since September 19, 2006.
## Identity
- **NPI:** 1700983285 (Entity type: Individual)
- **Enumerated:** September 19, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R858628 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-5571 · **Fax:** (601) 984-5583
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS); St. Dominic Medical Associates LLC (NPI 1902374085, Jackson, MS); Relias Emergency Medicine Specialists Of St Dominic LLC (NPI 1235808122, Jackson, MS); Rh Mississippi Hospitalist Medicine, LLC (NPI 1891541207, Jackson, MS); Quad Intermed Company LLC (NPI 1013790294, Jackson, MS); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** February 20, 2015
- **Other identifiers:** Medicare PIN 500001835 (MS); Medicaid 04103575 (MS); Medicare PIN 377884YS8T (MS); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1700983285) · Data from the CMS NPPES public registry.