Ms Kymberly Raven Ross, CFNP - Medicare Nurse Practitioner in Oxford, MS

Ms Kymberly Raven Ross, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Oxford, Mississippi. She went to Vanderbilt University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Access Telecare Pllc, Kootenai Health Inc, Kootenai Health, Inc. and her current practice location is 301 Jackson Ave W, Oxford, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 234-6464.

Ms Kymberly Raven Ross is licensed to practice in Mississippi (license number R878897) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1437242724.

Contact Information

Ms Kymberly Raven Ross, CFNP
301 Jackson Ave W,
Oxford, MS 38655-2154
(662) 234-6464
(662) 234-6475

Map and Direction




Provider's Profile

Full NameMs Kymberly Raven Ross
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location301 Jackson Ave W, Oxford, Mississippi
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kymberly Raven Ross attended and graduated from Vanderbilt University School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1437242724
  • Provider Enumeration Date: 10/01/2006
  • Last Update Date: 12/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9032212576
  • Enrollment ID: I20081007000385

Medical Identifiers

Medical identifiers for Ms Kymberly Raven Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437242724NPI-NPPES
06759284MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 1116194 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APN0000010481 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R878897 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family R878897 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Access Telecare Pllc7810204831262
Kootenai Health Inc1355792276291
Kootenai Health, Inc.4789641598331

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. Ms Kymberly Raven Ross allows following entities to bill medicare on her behalf.
Entity NamePanola Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528528874
PECOS PAC ID: 2668715624
Enrollment ID: O20190515002618
Entity NameProgressive Medical Management Of Batesville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700349222
PECOS PAC ID: 0345583225
Enrollment ID: O20191114002265
Entity NameAccess Telecare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013303080
PECOS PAC ID: 7810204831
Enrollment ID: O20220302000719

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. Ms Kymberly Raven Ross 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
Ms Kymberly Raven Ross, CFNP
301 Jackson Ave W,
Oxford, MS 38655-2154

Ph: (662) 234-6464
Ms Kymberly Raven Ross, CFNP
301 Jackson Ave W,
Oxford, MS 38655-2154

Ph: (662) 234-6464

Reviews and Comments


Nurse Practitioner Nurses in Oxford, MS

Mrs. Rachel Jamison Sledge, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1487 Belk Blvd, Oxford, MS 38655
Phone: 662-234-1090    Fax: 662-234-0432
Kathryn B Elliott, WHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 551 Azalea Dr, Oxford, MS 38655
Phone: 662-234-0332    Fax: 662-234-2891
Katherine Waters Shields, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Baptist Memorial Cir Ste 120, Oxford, MS 38655
Phone: 662-244-2288    Fax: 662-636-2285
Kirsten A Cox,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2580 Jackson Ave W Ste 44, Oxford, MS 38655
Phone: 662-234-9112    Fax: 662-234-9058
Michelle Cullen, F.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1109 N Lamar Blvd, Suite 1, Oxford, MS 38655
Phone: 662-238-7860    Fax: 662-238-7871
Jene' White Smith, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1397 Belk Blvd, Oxford, MS 38655
Phone: 662-236-4675    Fax: 662-281-0819
Tammy L. Pelegrin, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 504 Azalea Dr, Ste A, Oxford, MS 38655
Phone: 662-236-7738    Fax: 662-236-9642

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.