Kimberly B Outlaw, FNP in Fulton, MS - Medicare Nurse Practitioner

Kimberly B Outlaw, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fulton, Mississippi. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Redmed Llc, Physicians Urgent Care and her current practice location is 407 Interchange Dr, Fulton, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 205-5775.

Kimberly B Outlaw is licensed to practice in Mississippi (license number 903420) 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 1649829284.

Contact Information

	Kimberly B Outlaw, FNP
	407 Interchange Dr, Fulton, MS 38843-6029
	(662) 205-5775
	(662) 269-9201

Map and Direction

Provider's Profile

Full Name	Kimberly B Outlaw
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	407 Interchange Dr, Fulton, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly B Outlaw graduated from nursing school in 2019

NPI Data:

NPI Number: 1649829284
Provider Enumeration Date: 09/06/2019
Last Update Date: 05/28/2025

Medicare PECOS Information:

PECOS PAC ID: 3274969407
Enrollment ID: I20200207000728

Medical Identifiers

Medical identifiers for Kimberly B Outlaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649829284	NPI	-	NPPES
931617	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	903420 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Redmed Llc	2961633656	43
Physicians Urgent Care	5991832081	11

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. Kimberly B Outlaw allows following entities to bill medicare on her behalf.

Entity Name	Physicians Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316059405 PECOS PAC ID: 5991832081 Enrollment ID: O20100421000688

Entity Name	Redmed Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437589157 PECOS PAC ID: 2961633656 Enrollment ID: O20140321001095

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

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. Kimberly B Outlaw 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
Kimberly B Outlaw, FNP 407 Interchange Dr, Fulton, MS 38843-6029 Ph: (662) 205-5775	Kimberly B Outlaw, FNP 407 Interchange Dr, Fulton, MS 38843-6029 Ph: (662) 205-5775

Reviews and Comments

Nurse Practitioner Nurses in Fulton, MS

Mrs. Sheila Ann Frederick, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 65 Patton Cemetary Rd, Fulton, MS 38843 Phone: 662-213-8086
Thomas Matthew Taylor, FNP- BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Dr, Fulton, MS 38843 Phone: 662-862-5200 Fax: 662-862-5297
Magean Lashae Kemp, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 199 Pine Grove Rd, Fulton, MS 38843 Phone: 256-436-2264
Kaitlin Holley, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 95 Wilson Dr, Fulton, MS 38843 Phone: 662-401-4712
Mrs. Tara B Enlow, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Interchange Dr, Fulton, MS 38843 Phone: 662-862-9040 Fax: 662-409-2102
Mrs. Rebecca Claire Northington, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Hospital Rd, Fulton, MS 38843 Phone: 662-862-7047 Fax: 662-862-7053
Mrs. Paige A Nabors, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Scott Senter Rd, Fulton, MS 38843 Phone: 662-397-8017

Kimberly B Outlaw, FNP - Medicare Nurse Practitioner in Fulton, MS