Kimberly Tanner Fava, WHCNP, APRN - Medicare Nurse Practitioner in Oxford, MS

Kimberly Tanner Fava, WHCNP, APRN is a medicare enrolled "Nurse Practitioner - Women's Health" in Oxford, Mississippi. She graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northwest Miss Regional Medical Center and her current practice location is 1204 Medical Park Dr, Oxford, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 236-5717.

Kimberly Tanner Fava is licensed to practice in Mississippi (license number 854373) 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 1215195631.

Contact Information

Kimberly Tanner Fava, WHCNP, APRN
1204 Medical Park Dr,
Oxford, MS 38655-5326
(662) 236-5717
(662) 234-4016

Map and Direction




Provider's Profile

Full NameKimberly Tanner Fava
GenderFemale
SpecialityNurse Practitioner
Experience18 Years
Location1204 Medical Park Dr, Oxford, 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:
  • Kimberly Tanner Fava graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1215195631
  • Provider Enumeration Date: 06/02/2008
  • Last Update Date: 03/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0547333973
  • Enrollment ID: I20080718000185

Medical Identifiers

Medical identifiers for Kimberly Tanner Fava such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215195631NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health 854373 (Mississippi)Primary
363LF0000XNurse Practitioner - Family 854373 (Mississippi)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwest Mississippi Medical CenterClarksdale, MSHospital
Methodist Healthcare - Olive Branch HospitalOlive branch, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwest Miss Regional Medical Center317396917716

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 Tanner Fava 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
Kimberly Tanner Fava, WHCNP, APRN
8110 N Brother Blvd Ste 200,
Bartlett, TN 38133-2760

Ph: (901) 255-5221
Kimberly Tanner Fava, WHCNP, APRN
1204 Medical Park Dr,
Oxford, MS 38655-5326

Ph: (662) 236-5717

Reviews and Comments


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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.