MATTHEW TYLER KITTRELL
NPI 1891689832
Physician Assistant in Tupelo, MS

Q: What is Matthew Kittrell's NPI number?

The NPI number for Matthew Kittrell is 1891689832. It was assigned to this individual provider in the NPPES registry on June 4, 2025.

Q: What is Matthew Kittrell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Kittrell was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 04, 2025PECOS EnrolledAccepts Medicare Assignment

4250 S EASON BLVD, TUPELO, MS 38801(662) 377-5265 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2025, Jun 4, 2025 (2 updates tracked since 2025).

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About Matthew Tyler Kittrell NPPES

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

MATTHEW TYLER KITTRELL (NPI 1891689832) is an individual physician assistant in Tupelo, Mississippi, licensed in Mississippi (PA00906) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1891689832

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMATTHEW TYLER KITTRELL

Location Address4250 S EASON BLVDTupelo, MS 38801-6549

Mailing Address4250 S Eason BlvdTupelo, MS 38801-6549 · (662) 377-5265

Phone(662) 377-5265

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 4, 2025

Last NPPES UpdateJune 17, 20252 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1891689832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MS · PA00906

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4250 S EASON BLVD, Tupelo, MS 38801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

Matthew Tyler Kittrell 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 ID1850874595

PECOS Enrollment IDI20260311002425

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.

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 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.

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

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

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 12

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

ASHLEY NICOLE DODSON PA-C

Physician Assistant