KIERSTEN FARRAR AGACNP
NPI 1952063422
Nurse Practitioner - Acute Care in Hattiesburg, MS
About Kiersten Farrar Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIERSTEN FARRAR AGACNP (NPI 1952063422) is an individual acute care provider in Hattiesburg, Mississippi, licensed in Mississippi (904143) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Kiersten Farrar Agacnp 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 Reassignments
2Medicare enrollment records show Kiersten Farrar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- 696 clinicians in this Medicare group
Duson, LA 70529
- Reassigned Medicare billing, Louisiana enrollment
- 37 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 39401 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kiersten Farrar's NPI number?
The NPI number for Kiersten Farrar is 1952063422. It was assigned to this individual provider in the NPPES registry on October 12, 2021.
Where is Kiersten Farrar located?
Kiersten Farrar practices at 415 S 28th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 268-5650.
What is Kiersten Farrar's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kiersten Farrar enrolled in Medicare?
Yes. Kiersten Farrar 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 organizations bill Medicare for Kiersten Farrar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kiersten Farrar reassigns Medicare benefits to 2 organizations: Hattiesburg Clinic PA (Hattiesburg, MS) and Tiffany Roy Fnp LLC (Duson, LA). Each 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 Kiersten Farrar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kiersten Farrar was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kiersten Farrar, AGACNP · NPI 1952063422
Acute Care physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since October 12, 2021.
## Identity
- **NPI:** 1952063422 (Entity type: Individual)
- **Enumerated:** October 12, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 904143 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 415 S 28TH AVE, Hattiesburg, MS 39401-7246
- **Phone:** (601) 268-5650 · **Fax:** (601) 579-5240
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Hattiesburg Clinic PA (NPI 1043392459, Hattiesburg, MS); Tiffany Roy Fnp LLC (NPI 1376986257, Duson, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1952063422) · Data from the CMS NPPES public registry.