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MRS. KHELLI AMEKE LOCKRIDGE DNP, FNP-C
NPI 1962073080
Nurse Practitioner - Family in Vicksburg, MS

Active since July 09, 2021PECOS Enrolled
102 PECAN BLVD, VICKSBURG, MS 39183(601) 985-8029 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2026, Aug 30, 2023, Jul 9, 2021 (3 updates tracked since 2021).

About Mrs. Khelli Ameke Lockridge Dnp, Fnp-c NPPES

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

MRS. KHELLI AMEKE LOCKRIDGE DNP, FNP-C (NPI 1962073080) is an individual family provider in Vicksburg, Mississippi, licensed in Mississippi (904688) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1962073080
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KHELLI AMEKE LOCKRIDGECredential: DNP, FNP-C
Location Address102 PECAN BLVDVicksburg, MS 39183-8766
Mailing AddressPo Box 746079Atlanta, GA 30374-6079 · (773) 352-1515 · Fax (312) 929-0373
Phone(601) 985-8029
Sole ProprietorNo
Enumeration DateJuly 9, 2021
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1962073080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 904688
102 PECAN BLVD, Vicksburg, MS 39183
Open in Google Maps ↗

Secondary Practice Location 1

Location 14541 N State StJackson, MS 39206-5308 · Phone (601) 533-7017 · Fax (312) 929-0373

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Khelli Ameke Lockridge Dnp, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Khelli Lockridge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oak Street Health Physicians Group Of Mississippi, LLC
36 mi
Family Medicine
4541 N STATE ST
Jackson, MS 39206
  • Reassigned Medicare billing, Mississippi enrollment
  • 25 clinicians in this Medicare group
NPI 1235754995 (601) 533-7017
Community Care Health Network LLC
347 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Mississippi enrollment
  • 195 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

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 39183 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 Khelli Lockridge's NPI number?

The NPI number for Khelli Lockridge is 1962073080. It was assigned to this individual provider in the NPPES registry on July 9, 2021.

Where is Khelli Lockridge located?

Khelli Lockridge practices at 102 Pecan Blvd, Vicksburg, MS 39183. The listed phone number is (601) 985-8029.

What is Khelli Lockridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Khelli Lockridge enrolled in Medicare?

Yes. Khelli Lockridge is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Khelli Lockridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khelli Lockridge reassigns Medicare benefits to 2 organizations: Oak Street Health Physicians Group Of Mississippi, LLC (Jackson, MS) and Community Care Health Network LLC (Nashville, TN). 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 Khelli Lockridge'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 Khelli Lockridge was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.