Kendria Short, - Medicare Nurse Practitioner in Ridgeland, MS

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Kendria Short, is a medicare enrolled "Nurse Practitioner - Family" in Ridgeland, Mississippi. Her current practice location is 1000 Highland Colony Pkwy Ste 5203, Ridgeland, Mississippi. You can reach out to her office (for appointments etc.) via phone at (855) 212-2273.

Kendria Short is licensed to practice in Mississippi (license number 902256) 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 1437645017.

Contact Information

Kendria Short,
1000 Highland Colony Pkwy Ste 5203,
Ridgeland, MS 39157-2079
(855) 212-2273
(629) 240-6003

Map and Direction




Provider's Profile

Full NameKendria Short
GenderFemale
SpecialityNurse Practitioner - Family
Location1000 Highland Colony Pkwy Ste 5203, Ridgeland, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437645017
  • Provider Enumeration Date: 07/06/2018
  • Last Update Date: 10/22/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3971936436
  • Enrollment ID: I20191214000195

Medical Identifiers

Medical identifiers for Kendria Short such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437645017NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 902256 (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. Kendria Short allows following entities to bill medicare on her behalf.
Entity NameFitness Clinic Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912352022
PECOS PAC ID: 4486938719
Enrollment ID: O20170303001462
Entity NameMonogram Health Professional Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326655986
PECOS PAC ID: 4880004183
Enrollment ID: O20210111001028
Entity NameCommunity Care Health Network LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619368842
PECOS PAC ID: 8527324151
Enrollment ID: O20210520000556
Entity NameMolina Care Connections, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20250120000531

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. Kendria Short 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
Kendria Short,
5410 Maryland Way Ste 400,
Brentwood, TN 37027-8087

Ph: (855) 212-2273		Kendria Short,
1000 Highland Colony Pkwy Ste 5203,
Ridgeland, MS 39157-2079

Ph: (855) 212-2273

Reviews and Comments


Nurse Practitioner Nurses in Ridgeland, MS

Ebonique Martin Buckner, NP-C
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Thomas Howington,
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Mrs. Tonya Mayers-sherman, FNP-C
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Mrs. Ana Evelia Recinos, FNP
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Practice Location: 1107 Highland Colony Pkwy Ste 209, Ridgeland, MS 39157
Phone: 601-707-3737    
Ms. Larona Rachelle Searcy, FNP
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Madison Lynn Tolbert, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 680 Highway 51 Ste D, Ridgeland, MS 39157
Phone: 769-251-1040    Fax: 769-251-1047
Kenneth Kaiser, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 11 Professional Pkwy, Ridgeland, MS 39157
Phone: 601-856-2460    Fax: 601-856-4687

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.