Mrs Kristan S Kelly, FNP-BC in Meridian, MS - Medicare Nurse Practitioner

Mrs Kristan S Kelly, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Meridian, Mississippi. Her current practice location is 1455 N Lakeland Dr, Meridian, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 581-8450.

Mrs Kristan S Kelly is licensed to practice in Mississippi (license number 904831) 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 1043988496.

Contact Information

	Mrs Kristan S Kelly, FNP-BC
	1455 N Lakeland Dr, Meridian, MS 39307-9020
	(601) 581-8450
	(601) 512-2250

Map and Direction

Provider's Profile

Full Name	Mrs Kristan S Kelly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1455 N Lakeland Dr, Meridian, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043988496
Provider Enumeration Date: 09/01/2021
Last Update Date: 07/01/2025

Medicare PECOS Information:

PECOS PAC ID: 1951799279
Enrollment ID: I20230817002928

Medical Identifiers

Medical identifiers for Mrs Kristan S Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043988496	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904831 (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. Mrs Kristan S Kelly allows following entities to bill medicare on her behalf.

Entity Name	East Mississippi State Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972689313 PECOS PAC ID: 3476440900 Enrollment ID: O20040301000734

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. Mrs Kristan S Kelly 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
Mrs Kristan S Kelly, FNP-BC 127 Shields Rd, Meridian, MS 39301-9140 Ph: (601) 513-2430	Mrs Kristan S Kelly, FNP-BC 1455 N Lakeland Dr, Meridian, MS 39307-9020 Ph: (601) 581-8450

Reviews and Comments

Nurse Practitioner Nurses in Meridian, MS

Amanda Danielle Simpson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-484-6700
Miss Mattie P Hopson, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118
Jennifer Lynn Webb, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 329 Jeffery Acres Rd, Meridian, MS 39301 Phone: 601-527-6584
Gail Beard, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000
Mrs. Celeste M Watson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3315 N Hills St Apt 607, #607, Meridian, MS 39305 Phone: 601-282-5429
Mrs. Karen Faye Deese, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1523 22nd Ave Ste B, Meridian, MS 39301 Phone: 601-703-8450 Fax: 601-553-6308
Patti Suzanne Weaver, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-4065 Fax: 601-703-3050

Mrs Kristan S Kelly, FNP-BC - Medicare Nurse Practitioner in Meridian, MS