MRS. KIMBERLY FAYE GOSS FNP-C
NPI 1720695190
Nurse Practitioner - Family in Tupelo, MS
About Mrs. Kimberly Faye Goss Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIMBERLY FAYE GOSS FNP-C (NPI 1720695190) is an individual family provider in Tupelo, Mississippi, licensed in Mississippi (903881) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Kimberly Faye Goss Fnp-c 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
3Medicare enrollment records show Kimberly Goss reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mooreville, MS 38857
- Reassigned Medicare billing, Mississippi enrollment
- 8 clinicians in this Medicare group
Amory, MS 38821
- Reassigned Medicare billing, Mississippi enrollment
- 11 clinicians in this Medicare group
Aberdeen, MS 39730
- Reassigned Medicare billing, Mississippi enrollment
- Also billed through NPI 1285164046 (Mississippi)
- 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 38801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TUPELO, MS 38801
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 Kimberly Goss's NPI number?
The NPI number for Kimberly Goss is 1720695190. It was assigned to this individual provider in the NPPES registry on September 29, 2020.
Where is Kimberly Goss located?
Kimberly Goss practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-3270.
What is Kimberly Goss's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Goss enrolled in Medicare?
Yes. Kimberly Goss 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 Kimberly Goss's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Goss reassigns Medicare benefits to 3 organizations: Acute Care & Family Clinic Of Mooreville (Mooreville, MS), Priority Care PLLC (Amory, MS) and Boa Vida Hospital Of Aberdeen, Ms, LLC (Aberdeen, 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 Kimberly Goss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Goss accept?
Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Molina Healthcare and UnitedHealthcare list Kimberly Goss 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.
When was this NPI record last updated?
The NPPES record for Kimberly Goss was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Kimberly Faye Goss, FNP-C · NPI 1720695190
Family physician in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since September 29, 2020.
## Identity
- **NPI:** 1720695190 (Entity type: Individual)
- **Enumerated:** September 29, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 903881 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 830 S GLOSTER ST, Tupelo, MS 38801-4996
- **Phone:** (662) 377-3270 · **Fax:** (662) 377-4352
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Acute Care & Family Clinic Of Mooreville (NPI 1619298536, Mooreville, MS); Priority Care PLLC (NPI 1174245609, Amory, MS); Boa Vida Hospital Of Aberdeen, Ms, LLC (NPI 1710405741, Aberdeen, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 29, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1720695190) · Data from the CMS NPPES public registry.