KENITRA WALLACE FNP
NPI 1891218046
Nurse Practitioner - Family in Natchez, MS
About Kenitra Wallace Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENITRA WALLACE FNP (NPI 1891218046) is an individual family provider in Natchez, Mississippi, licensed in Mississippi (902181) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
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
Kenitra Wallace Fnp 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 Reassignment
Medicare enrollment records show Kenitra Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Natchez, MS 39120
- Reassigned Medicare billing, Mississippi enrollment
- 2 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 39120 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NATCHEZ, MS 39120
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 Kenitra Wallace's NPI number?
The NPI number for Kenitra Wallace is 1891218046. It was assigned to this individual provider in the NPPES registry on July 19, 2017.
Where is Kenitra Wallace located?
Kenitra Wallace practices at 145 Homochitto St, Natchez, MS 39120. The listed phone number is (601) 442-4863.
What is Kenitra Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kenitra Wallace enrolled in Medicare?
Yes. Kenitra Wallace 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 Kenitra Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenitra Wallace reassigns Medicare benefits to Jefferson Comprehensive Health Center, Inc. (Natchez, 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 Kenitra Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenitra Wallace accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Kenitra Wallace 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 Kenitra Wallace was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kenitra Wallace, FNP · NPI 1891218046
Family physician in Natchez, Mississippi. Individual provider, active in the CMS NPPES registry since July 19, 2017.
## Identity
- **NPI:** 1891218046 (Entity type: Individual)
- **Enumerated:** July 19, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 902181 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 145 HOMOCHITTO ST, Natchez, MS 39120
- **Phone:** (601) 442-4863
## 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:** Jefferson Comprehensive Health Center, Inc. (NPI 1538924840, Natchez, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 23, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1891218046) · Data from the CMS NPPES public registry.