KATELYN ROSSOW MD
NPI 1790102788
Pediatrics - Developmental - Behavioral Pediatrics in Jackson, MS
About Katelyn Rossow Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN ROSSOW MD (NPI 1790102788) is an individual developmental - behavioral pediatrics provider in Jackson, Mississippi, licensed in Kentucky (55729) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Louisville School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katelyn Rossow Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Katelyn Rossow reassigns Medicare billing to 3 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
Louisville, KY 40241
- Reassigned Medicare billing, Kentucky enrollment
- Medicare enrollment name: Norton Childrens Medical Group LLC
- 1,008 clinicians in this Medicare group
Mountain Home, ID 83647
- Reassigned Medicare billing, Idaho enrollment
- 1,312 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.
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 Katelyn Rossow's NPI number?
The NPI number for Katelyn Rossow is 1790102788. It was assigned to this individual provider in the NPPES registry on March 27, 2014. The provider is also known as Katelyn Neely MD.
Where is Katelyn Rossow located?
Katelyn Rossow practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (502) 588-0850.
What is Katelyn Rossow's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.
Is Katelyn Rossow enrolled in Medicare?
Yes. Katelyn Rossow is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Katelyn Rossow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Rossow reassigns Medicare benefits to 3 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), Norton Children's Medical Group, LLC (Louisville, KY) and St Lukes Clinic-Treasure Valley LLC (Mountain Home, ID). 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 Katelyn Rossow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katelyn Rossow accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan, Ambetter from Louisiana Healthcare Connections and Ambetter from Meridian and 3 other insurers list Katelyn Rossow 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 Katelyn Rossow was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Katelyn Rossow, MD · NPI 1790102788
Developmental - Behavioral Pediatrics physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since March 27, 2014.
## Identity
- **NPI:** 1790102788 (Entity type: Individual)
- **Enumerated:** March 27, 2014
- **Primary specialty:** Pediatrics - Developmental - Behavioral Pediatrics · taxonomy 2080P0006X
- **State license:** 55729 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (502) 588-0850
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS); Norton Children's Medical Group, LLC (NPI 1013559921, Louisville, KY); St Lukes Clinic-Treasure Valley LLC (NPI 1417297821, Mountain Home, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Louisville School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** July 15, 2025
- **Other identifiers:** Medicaid 7100660090 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1790102788) · Data from the CMS NPPES public registry.