KELSIE BOYKIN VERNON
NPI 1801789870
Nurse Practitioner - Family in Louisville, MS

Active since May 29, 2025PECOS EnrolledAccepts Medicare Assignment
320 MS-15, LOUISVILLE, MS 39339(662) 773-7500 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2025, Sep 16, 2025, May 29, 2025 (3 updates tracked since 2025).

About Kelsie Boykin Vernon NPPES

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

KELSIE BOYKIN VERNON (NPI 1801789870) is an individual family provider in Louisville, Mississippi, licensed in Mississippi (907784) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Choctaw Regional Medical Center, and is a graduate of Vanderbilt University School Of Medicine (2025).

NPPES Registry Identity

NPI1801789870
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSIE BOYKIN VERNON
Location Address320 MS-15Louisville, MS 39339
Mailing Address320 Ms-15Louisville, MS 39339 · (662) 773-7500
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2025
Enumeration DateMay 29, 2025
Last NPPES UpdateNovember 12, 20253 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
NPI 1801789870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 907784
320 MS-15, Louisville, MS 39339

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelsie Boykin Vernon 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.

PECOS PAC ID4385133362
PECOS Enrollment IDI20251029004655
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Choctaw Regional Medical Center

Critical Access Hospitals · Ackerman, MS
OwnershipGovernment - Local
CMS Certification Number251334
Location8613 Ms Hwy 12Ackerman, MS 39735 · Choctaw County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39339 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

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

Nurse Practitioner (Family)
320 MS-15
LOUISVILLE, MS 39339

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 Kelsie Vernon's NPI number?

The NPI number for Kelsie Vernon is 1801789870. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Where is Kelsie Vernon located?

Kelsie Vernon practices at 320 Ms-15, Louisville, MS 39339. The listed phone number is (662) 773-7500.

What is Kelsie Vernon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelsie Vernon enrolled in Medicare?

Yes. Kelsie Vernon 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.

Is Kelsie Vernon affiliated with any hospitals?

According to CMS data, Kelsie Vernon is affiliated with Choctaw Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kelsie Vernon was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.