Mrs Kimberly Renee Kilpatrick, CFNP - Medicare Nurse Practitioner in Vicksburg, MS

Mrs Kimberly Renee Kilpatrick, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Vicksburg, Mississippi. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vicksburg Clinic Llc and her current practice location is 1907 Mission 66, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 636-1173.

Mrs Kimberly Renee Kilpatrick is licensed to practice in Mississippi (license number 901794) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881146306.

Contact Information

Mrs Kimberly Renee Kilpatrick, CFNP
1907 Mission 66,
Vicksburg, MS 39180-3711
(601) 636-1173
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kimberly Renee Kilpatrick
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1907 Mission 66, Vicksburg, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kimberly Renee Kilpatrick graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1881146306
  • Provider Enumeration Date: 11/01/2016
  • Last Update Date: 09/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0446537617
  • Enrollment ID: I20170426001990

Medical Identifiers

Medical identifiers for Mrs Kimberly Renee Kilpatrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881146306NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 901794 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mid Delta Home Health AgencyBelzoni, MSHome health agency
Kindred At Home -flowoodFlowood, MSHome health agency
Merit Health River RegionVicksburg, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vicksburg Clinic Llc589069633021

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. Mrs Kimberly Renee Kilpatrick allows following entities to bill medicare on her behalf.
Entity NameVicksburg Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790711158
PECOS PAC ID: 5890696330
Enrollment ID: O20040116000738
Entity NameHollandale Family Care, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245290451
PECOS PAC ID: 2769485135
Enrollment ID: O20061026000372
Entity NameFlowood River Oaks Hma Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801128798
PECOS PAC ID: 5890825004
Enrollment ID: O20100615000668

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. Mrs Kimberly Renee Kilpatrick 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 AddressPractice Location Address
Mrs Kimberly Renee Kilpatrick, CFNP
1907 Mission 66,
Vicksburg, MS 39180-3711

Ph: (601) 636-1173
Mrs Kimberly Renee Kilpatrick, CFNP
1907 Mission 66,
Vicksburg, MS 39180-3711

Ph: (601) 636-1173

Reviews and Comments


Nurse Practitioner Nurses in Vicksburg, MS

Mrs. Brittany Sharda Barnes, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 919 Mission 66, Vicksburg, MS 39183
Phone: 601-262-2922    
Mrs. Kimberly Fuller, MSN, ACNP - BS
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    
Mrs. Latasha Jackson Claiborne, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180
Phone: 601-638-0031    
Nina Tomlinson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 807 Monroe St, Vicksburg, MS 39183
Phone: 601-636-4356    
Linda Cheslek,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 807 Monroe St, Vicksburg, MS 39183
Phone: 601-636-4356    
Kerrie Sanders- Smith,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4077 Pemberton Square Blvd, Vicksburg, MS 39180
Phone: 601-638-8600    
Manivanh A Prudhomme, MSN, FNP-BC, AGACNP-
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2011 Highway 61 N, Vicksburg, MS 39183
Phone: 014-562-2776    Fax: 601-456-2622

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.