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MRS. KELLY LYNN VELASQUEZ PMHNP
NPI 1922726512
Nurse Practitioner - Psychiatric/Mental Health in Southaven, MS

Active since August 18, 2022PECOS EnrolledAccepts Medicare Assignment
6858 SWINNEA RD BLDG 3B, SOUTHAVEN, MS 38671(662) 420-2418(855) 529-1633 Get Directions Write a Review

NPPES record last updated: January 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 1, 2025, Aug 18, 2022 (2 updates tracked since 2022).

About Mrs. Kelly Lynn Velasquez Pmhnp NPPES

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

MRS. KELLY LYNN VELASQUEZ PMHNP (NPI 1922726512) is an individual psychiatric/mental health provider in Southaven, Mississippi, licensed in Mississippi (905496) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1922726512
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. KELLY LYNN VELASQUEZCredential: PMHNP
Location Address6858 SWINNEA RD BLDG 3BSouthaven, MS 38671-9493
Mailing Address1651 Wood Lane DrOlive Branch, MS 38654-7355 · (901) 568-8843
Phone(662) 420-2418
Fax(855) 529-1633
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 18, 2022
Last NPPES UpdateJanuary 1, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2025
✔ NPI 1922726512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 905496
6858 SWINNEA RD BLDG 3B, Southaven, MS 38671
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan, Inc., UnitedHealthcare.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

Mrs. Kelly Lynn Velasquez Pmhnp 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 ID2860847852
PECOS Enrollment IDI20231011002224
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 Kelly Velasquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kelly Velasquez Psychiatric Mental Health Nurse Practitioner, LLC
Same address
Psychiatric/Mental Health
6858 SWINNEA RD BLDG 3B
Southaven, MS 38671
  • Reassigned Medicare billing, Mississippi enrollment
  • 2 clinicians in this Medicare group
NPI 1033819511 (662) 420-2418

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 38671 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 2

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

KELLY VELASQUEZ PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER, LLC
Nurse Practitioner (Psychiatric/Mental Health)
6858 SWINNEA RD BLDG 3B
SOUTHAVEN, MS 38671
Desoto County (662) 420-2418
TONYA MARIE ANDREWS PLPC, NCC
Counselor (Mental Health)
6858 SWINNEA RD BLDG 3B
SOUTHAVEN, MS 38671
Desoto County (662) 205-0567

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 Kelly Velasquez's NPI number?

The NPI number for Kelly Velasquez is 1922726512. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Where is Kelly Velasquez located?

Kelly Velasquez practices at 6858 Swinnea Rd Bldg 3B, Southaven, MS 38671. The listed phone number is (662) 420-2418.

What is Kelly Velasquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelly Velasquez enrolled in Medicare?

Yes. Kelly Velasquez 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 Kelly Velasquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Velasquez reassigns Medicare benefits to Kelly Velasquez Psychiatric Mental Health Nurse Practitioner, LLC (Southaven, 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 Kelly Velasquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Velasquez accept?

Health plans from Cigna Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Kelly Velasquez 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 Kelly Velasquez was last updated on January 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.