Katelyn Stalnaker Richardson, AGNP-C in Tupelo, MS

Katelyn Stalnaker Richardson, AGNP-C is a medicare enrolled "Nurse Practitioner" in Tupelo, Mississippi. Her current practice location is 499 Gloster Creek Vlg Ste G1, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 377-2663.

Katelyn Stalnaker Richardson is licensed to practice in Mississippi (license number 905648) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003414509.

Contact Information

	Katelyn Stalnaker Richardson, AGNP-C
	499 Gloster Creek Vlg Ste G1, Tupelo, MS 38801-4751
	(662) 377-2663
	Not Available

Map and Direction

Provider's Profile

Full Name	Katelyn Stalnaker Richardson
Gender	Female
Speciality	Nurse Practitioner
Location	499 Gloster Creek Vlg Ste G1, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003414509
Provider Enumeration Date: 10/15/2020
Last Update Date: 11/02/2022

Medicare PECOS Information:

PECOS PAC ID: 1456729870
Enrollment ID: I20221116000885

Medical Identifiers

Medical identifiers for Katelyn Stalnaker Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003414509	NPI	-	NPPES
897205	Other	MS	RN LICENSE
905648	Other	MS	APRN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	897205 (Mississippi)	Secondary
363L00000X	Nurse Practitioner	905648 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katelyn Stalnaker Richardson allows following entities to bill medicare on her behalf.

Entity Name	Orthopaedic Institute Of North Mississippi, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790755320 PECOS PAC ID: 7113914078 Enrollment ID: O20040430000679

Entity Name	Family Clinic Of New Albany
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609884733 PECOS PAC ID: 0345250767 Enrollment ID: O20060905000564

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katelyn Stalnaker Richardson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Katelyn Stalnaker Richardson, AGNP-C 80 Little Cir, Belden, MS 38826-9118 Ph: (662) 419-2105	Katelyn Stalnaker Richardson, AGNP-C 499 Gloster Creek Vlg Ste G1, Tupelo, MS 38801-4751 Ph: (662) 377-2663

Reviews and Comments

Nurse Practitioner Nurses in Tupelo, MS

Nicole Sherice Taylor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 845 South Gloster Street, Tupelo, MS 38801 Phone: 662-377-5930
Mrs. Rebecca Perry Ward, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4381 South Eason Blvd, Longtown Medical Park, Tupelo, MS 38801 Phone: 662-377-7354 Fax: 662-377-5301
Ms. Wanda Ikeda, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 Phone: 662-620-6800 Fax: 662-377-2403
Mrs. Tina King, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1573 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-9885 Fax: 662-842-1350
Anna Danielle Woodruff, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 499 Gloster Creek Vlg Ste H3, Tupelo, MS 38801 Phone: 662-840-6026 Fax: 662-840-6030
Jennifer L Taylor, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 205-412-0585
Kalisa Mickell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-3000

Katelyn Stalnaker Richardson, AGNP-C - Medicare Nurse Practitioner in Tupelo, MS