KELSIE RAE CHISOLM
NPI 1982389052
Nurse Practitioner in Meridian, MS

Active since June 16, 2023PECOS EnrolledAccepts Medicare Assignment
2124 14TH ST, MERIDIAN, MS 39301(601) 553-6000 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2025, Jul 14, 2023, Jun 16, 2023 (3 updates tracked since 2023).

About Kelsie Rae Chisolm NPPES

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

KELSIE RAE CHISOLM (NPI 1982389052) is an individual nurse practitioner in Meridian, Mississippi, licensed in Mississippi (906102) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Ochsner Rush Hospital, and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1982389052
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELSIE RAE CHISOLM
Location Address2124 14TH STMeridian, MS 39301-4040
Mailing Address15043 Highway 503Decatur, MS 39327-9680 · (601) 479-5890
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 16, 2023
Last NPPES UpdateMay 22, 20253 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1982389052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 906102
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 897243 (MS)
2124 14TH ST, Meridian, MS 39301

Secondary Practice Location 1

Location 11102 Constitution AveMeridian, MS 39301-4001 · Phone (601) 703-5000 · Fax (601) 703-0124

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

Kelsie Rae Chisolm 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 ID6002270824
PECOS Enrollment IDI20230913000673
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 Kelsie Chisolm reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2124 14TH ST
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • 173 clinicians in this Medicare group
Hospitalist
2124 14TH ST
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • 88 clinicians in this Medicare group
Rural Health
1221 24TH AVE
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • 106 clinicians in this Medicare group
Rural Health
24489 HIGHWAY 80
Lake, MS 39092
  • Reassigned Medicare billing, Mississippi enrollment
  • 57 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.

Hospital Affiliations CMS Care Compare 2

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

Ochsner Rush Hospital

Acute Care Hospitals · Meridian, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250069
Location1314 19th AveMeridian, MS 39301 · Lauderdale County
Emergency services Birthing friendly

Ochsner Laird Hospital

Critical Access Hospitals · Union, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251322
Location25117 Highway 15Union, MS 39365 · Neshoba 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.

Registered Nurse (Registered Nurse First Assistant)
2124 14TH ST
MERIDIAN, MS 39301
Nurse Practitioner (Neonatal, Critical Care)
2124 14TH ST
MERIDIAN, MS 39301
Nurse Practitioner (Family)
2124 14TH ST
MERIDIAN, MS 39301
Nurse Practitioner (Family)
2124 14TH ST
MERIDIAN, MS 39301
Family Medicine
2124 14TH ST
MERIDIAN, MS 39301
Nurse Anesthetist, Certified Registered
2124 14TH ST
MERIDIAN, MS 39301
Emergency Medicine
2124 14TH ST
MERIDIAN, MS 39301
Specialist
2124 14TH ST
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 Kelsie Chisolm's NPI number?

The NPI number for Kelsie Chisolm is 1982389052. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Kelsie Chisolm located?

Kelsie Chisolm practices at 2124 14th St, Meridian, MS 39301. The listed phone number is (601) 553-6000.

What is Kelsie Chisolm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelsie Chisolm enrolled in Medicare?

Yes. Kelsie Chisolm 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 Kelsie Chisolm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsie Chisolm reassigns Medicare benefits to 4 organizations: Anderson Physician Alliance, Inc. (Meridian, MS), Hospitalist Services Of Meridian PA (Meridian, MS), Laird Hospital, Inc (Meridian, MS) and Scott Regional Medical Center, Inc. (Lake, 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 Kelsie Chisolm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsie Chisolm accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Kelsie Chisolm 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 Kelsie Chisolm affiliated with any hospitals?

According to CMS data, Kelsie Chisolm is affiliated with Ochsner Rush Hospital and Ochsner Laird Hospital.

When was this NPI record last updated?

The NPPES record for Kelsie Chisolm was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.