Kimberly B Outlaw, FNP in Holly Springs, MS - Medicare Nurse Practitioner

Kimberly B Outlaw, FNP is a medicare enrolled "Nurse Practitioner - Family" in Holly Springs, Mississippi. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Mississippi Pllc, Medexpress Urgent Care, Pc - Virginia, Fast Pace Mississippi Pllc and her current practice location is 603 Craft St, Holly Springs, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 333-8070.

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
	603 Craft St, Holly Springs, MS 38635-3250
	(662) 333-8070
	(662) 333-8071

Map and Direction

Provider's Profile

Full Name	Kimberly B Outlaw
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	603 Craft St, Holly Springs, 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: 02/12/2022

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
Fast Pace Mississippi Pllc	3678832029	136
Medexpress Urgent Care, Pc - Virginia	3173797586	79
Fast Pace Mississippi Pllc	3678832029	136

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

Entity Name	Medplus Fulton , Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285126227 PECOS PAC ID: 8325385263 Enrollment ID: O20190130001347

Entity Name	Medplus Starkville Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336749274 PECOS PAC ID: 8527474576 Enrollment ID: O20210317000911

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 603 Craft St, Holly Springs, MS 38635-3250 Ph: (662) 333-8070	Kimberly B Outlaw, FNP 603 Craft St, Holly Springs, MS 38635-3250 Ph: (662) 333-8070

Reviews and Comments

Nurse Practitioner Nurses in Holly Springs, MS

Dr. Jerry D Williams Ii, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 W Van Dorn Ave, Holly Springs, MS 38635 Phone: 662-274-3212 Fax: 662-274-3213
Robyn Black Caldwell, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 South Craft Street, Holly Springs, MS 38635 Phone: 662-274-3218
Stephanie M Hardin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 538 J M Ash Dr, Holly Springs, MS 38635 Phone: 662-252-1599 Fax: 662-252-1986
Allison Tucker Mcculley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1809 Marianna Rd, Holly Springs, MS 38635 Phone: 901-489-3739
Christle Chenille Stanton, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Crescent Meadows Dr, Holly Springs, MS 38635 Phone: 662-252-2552
Nancy C Boatwright, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 538 J M Ash Dr, Holly Springs, MS 38635 Phone: 662-333-6933 Fax: 662-333-6931
Zelma Allen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2369 Highway 311, Holly Springs, MS 38635 Phone: 901-488-7273

Kimberly B Outlaw, FNP - Medicare Nurse Practitioner in Holly Springs, MS