JESSICA PATTERSON KOON
NPI 1871464040
Nurse Practitioner in Saltillo, MS

Active since September 12, 2025PECOS EnrolledAccepts Medicare Assignment
1663 BIRMINGHAM RIDGE RD, SALTILLO, MS 38866(662) 377-5199 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Patterson Koon NPPES

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

JESSICA PATTERSON KOON (NPI 1871464040) is an individual nurse practitioner in Saltillo, Mississippi, licensed in Mississippi (2025046474) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1871464040
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA PATTERSON KOON
Location Address1663 BIRMINGHAM RIDGE RDSaltillo, MS 38866-6819
Mailing Address1663 Birmingham Ridge RdSaltillo, MS 38866-6819 · (662) 377-5199
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 12, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 12, 2025
✔ NPI 1871464040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 2025046474
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1663 BIRMINGHAM RIDGE RD, Saltillo, MS 38866

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

Jessica Patterson Koon 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 ID7315439957
PECOS Enrollment IDI20251121001975
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 Reassignment

Medicare enrollment records show Jessica Koon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
499 GLOSTER CREEK VLG STE S-3
Tupelo, MS 38801
  • Reassigned Medicare billing, Mississippi enrollment
  • 581 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.

Hospital Affiliations CMS Care Compare

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38866 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.

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 Jessica Koon's NPI number?

The NPI number for Jessica Koon is 1871464040. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Where is Jessica Koon located?

Jessica Koon practices at 1663 Birmingham Ridge Rd, Saltillo, MS 38866. The listed phone number is (662) 377-5199.

What is Jessica Koon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jessica Koon enrolled in Medicare?

Yes. Jessica Koon 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 organization bills Medicare for Jessica Koon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Koon reassigns Medicare benefits to North Mississippi Medical Center, Inc. (Tupelo, MS). The 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 Jessica Koon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Koon accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Jessica Koon 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 Jessica Koon affiliated with any hospitals?

According to CMS data, Jessica Koon is affiliated with North Mississippi Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Koon was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.