KATELYN REBECCA MOFFETT FNP-C
NPI 1972875995
Nurse Practitioner - Family in Meridian, MS

Active since February 07, 2012PECOS EnrolledAccepts Medicare Assignment
1102 CONSTITUTION AVE, MERIDIAN, MS 39301(601) 683-3117(601) 683-2505 Get Directions Write a Review

NPPES record last updated: October 26, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katelyn Rebecca Moffett Fnp-c NPPES

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

KATELYN REBECCA MOFFETT FNP-C (NPI 1972875995) is an individual family provider in Meridian, Mississippi, licensed in Mississippi (R882198) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Anderson Regional Medical Center South Campus, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1972875995
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATELYN REBECCA MOFFETTCredential: FNP-C
Location Address1102 CONSTITUTION AVEMeridian, MS 39301-4001
Mailing Address1102 Constitution AveMeridian, MS 39301-4001 · (601) 703-5600 · Fax (601) 703-5691
Fax(601) 683-2505
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 7, 2012
Last NPPES UpdateOctober 26, 2017
✔ NPI 1972875995 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 · R882198
1102 CONSTITUTION AVE, Meridian, MS 39301

Other Identifiers 1

Medicaid04584751MS

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

Katelyn Rebecca Moffett Fnp-c 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 ID6002070968
PECOS Enrollment IDI20120606000274
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

4

Medicare enrollment records show Katelyn Moffett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
1102 CONSTITUTION AVE
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • 10 clinicians in this Medicare group
Emergency Medical Services
1001 HOLLAND AVE
Philadelphia, MS 39350
  • Reassigned Medicare billing, Mississippi enrollment
  • 55 clinicians in this Medicare group
Orthopaedic Surgery
670 LEIGH DR
Columbus, MS 39705
  • Reassigned Medicare billing, Mississippi enrollment
  • 54 clinicians in this Medicare group
87 mi
Family Medicine
111 E CAPITOL ST STE 500
Jackson, MS 39201
  • Reassigned Medicare billing, Mississippi enrollment
  • 39 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
601 services193 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Anderson Regional Medical Center South Campus

Acute Care Hospitals · Meridian, MS
OwnershipProprietary
CMS Certification Number250081
Location1102 Constitution AvenueMeridian, MS 39301 · Lauderdale County
Emergency services

Anderson Regional Medical Center

Acute Care Hospitals · Meridian, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250104
Location2124 14th StreetMeridian, MS 39301 · Lauderdale County
Emergency services Birthing friendly

Noxubee General Critical Access Hosp

Critical Access Hospitals · Macon, MS
OwnershipGovernment - State
CMS Certification Number251307
Location78 Hospital RoadMacon, MS 39341 · Noxubee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39301 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 20

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

Anesthesiology
1102 CONSTITUTION AVE
MERIDIAN, MS 39301
Rehabilitation Unit
1102 CONSTITUTION AVE
MERIDIAN, MS 39301
Emergency Medicine
1102 CONSTITUTION AVE
MERIDIAN, MS 39301
Nurse Anesthetist, Certified Registered
1102 CONSTITUTION AVE
MERIDIAN, MS 39301
Nurse Anesthetist, Certified Registered
1102 CONSTITUTION AVE
MERIDIAN, MS 39301
General Acute Care Hospital
1102 CONSTITUTION AVE
MERIDIAN, MS 39301
Anesthesiology (Pain Medicine)
1102 CONSTITUTION AVE
MERIDIAN, MS 39301
Nurse Practitioner (Family)
1102 CONSTITUTION AVE
MERIDIAN, MS 39301

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 Katelyn Moffett's NPI number?

The NPI number for Katelyn Moffett is 1972875995. It was assigned to this individual provider in the NPPES registry on February 7, 2012.

Where is Katelyn Moffett located?

Katelyn Moffett practices at 1102 Constitution Ave, Meridian, MS 39301. The listed phone number is (601) 683-3117.

What is Katelyn Moffett's specialty?

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

Is Katelyn Moffett enrolled in Medicare?

Yes. Katelyn Moffett 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 Katelyn Moffett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Moffett reassigns Medicare benefits to 4 organizations: Pain Management Ctr Meridian (Meridian, MS), Neshoba County General Hospital (Philadelphia, MS), The Columbus Orthopaedic Clinic, P.A. (Columbus, MS) and Vpa PC (Jackson, MS). 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 Katelyn Moffett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Moffett accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Katelyn Moffett 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.

Is Katelyn Moffett affiliated with any hospitals?

According to CMS data, Katelyn Moffett is affiliated with Anderson Regional Medical Center South Campus, Anderson Regional Medical Center and Noxubee General Critical Access Hosp.

When was this NPI record last updated?

The NPPES record for Katelyn Moffett was last updated on October 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.