Kelsey Marter Faulkner, - Medicare Nurse Practitioner in Grenada, MS

Kelsey Marter Faulkner, is a medicare enrolled "Nurse Practitioner - Family" in Grenada, Mississippi. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tallahatchie General Hospital and her current practice location is 965 Avent Dr, Grenada, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 815-2005.

Kelsey Marter Faulkner is licensed to practice in Mississippi (license number 903087) 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 1013489319.

Contact Information

Kelsey Marter Faulkner,
965 Avent Dr,
Grenada, MS 38901-5045
(601) 815-2005
Not Available

Map and Direction




Provider's Profile

Full NameKelsey Marter Faulkner
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location965 Avent Dr, Grenada, 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:
  • Kelsey Marter Faulkner graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1013489319
  • Provider Enumeration Date: 12/26/2018
  • Last Update Date: 09/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739417882
  • Enrollment ID: I20190827002889

Medical Identifiers

Medical identifiers for Kelsey Marter Faulkner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013489319NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 903087 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adoration Home Health Care MississippiCleveland, MSHome health agency
Sunflower Home HealthCleveland, MSHome health agency
Tallahatchie Critical Access HospitalCharleston, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tallahatchie General Hospital105220809717

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. Kelsey Marter Faulkner allows following entities to bill medicare on her behalf.
Entity NameTallahatchie General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679733497
PECOS PAC ID: 1052208097
Enrollment ID: O20040303000646
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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. Kelsey Marter Faulkner 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
Kelsey Marter Faulkner,
221 Dale Rd,
Duck Hill, MS 38925-9241

Ph: (662) 614-6283
Kelsey Marter Faulkner,
965 Avent Dr,
Grenada, MS 38901-5045

Ph: (601) 815-2005

Reviews and Comments


Nurse Practitioner Nurses in Grenada, MS

Mrs. Agnes Pamela Upchurch, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1350 Sunset Dr, Ste B, Grenada, MS 38901
Phone: 662-229-0669    Fax: 662-227-9929
Courtney Bullard, AGNP-C
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Practice Location: 1966 F S Hill Dr, Grenada, MS 38901
Phone: 662-688-1519    
Mrs. Ashley Nicole Woods, FNP
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Practice Location: 140 Broadfield Dr, Grenada, MS 38901
Phone: 662-809-2419    
Latia Monanette Butts, CFNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901
Phone: 662-349-2442    Fax: 662-349-8551
Shonda Jacqueline Phelon, C.F.N.P.; P.M.H.N.P
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1970 Grandview Dr, Grenada, MS 38901
Phone: 662-227-3700    Fax: 662-227-3740
Alison Campbell, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1117 Sunset Dr Ste 104, Grenada, MS 38901
Phone: 662-226-0110    

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.