Kelli Elizabeth Pruitt, - Medicare Nurse Practitioner in Jackson, MS

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Kelli Elizabeth Pruitt, is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ocean Springs Urgent Care, Maxem Health Urgent Care Flowood, Maxem Health Urgent Care Magee and her current practice location is 2969 Curran Dr N, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 540-5598.

Kelli Elizabeth Pruitt is licensed to practice in Mississippi (license number R883741) 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 1285049254.

Contact Information

Kelli Elizabeth Pruitt,
2969 Curran Dr N,
Jackson, MS 39216-4121
(601) 540-5598
Not Available

Map and Direction




Provider's Profile

Full NameKelli Elizabeth Pruitt
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location2969 Curran Dr N, Jackson, 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:
  • Kelli Elizabeth Pruitt graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1285049254
  • Provider Enumeration Date: 06/27/2014
  • Last Update Date: 05/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264651546
  • Enrollment ID: I20140918001483

Medical Identifiers

Medical identifiers for Kelli Elizabeth Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285049254NPI-NPPES
07407051MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN11007306 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11007306 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R883741 (Mississippi)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61401686 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 10006919 (Oregon)Secondary
363LF0000XNurse Practitioner - Family R883741 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ocean Springs Urgent Care024442619517
Maxem Health Urgent Care Flowood933542942210
Maxem Health Urgent Care Magee95374196438

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. Kelli Elizabeth Pruitt allows following entities to bill medicare on her behalf.
Entity NameKings Daughters Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043245368
PECOS PAC ID: 3072575539
Enrollment ID: O20041028000174
Entity NamePicayune Urgent Care Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780723502
PECOS PAC ID: 3072612175
Enrollment ID: O20070629000243
Entity NameOrange Grove Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831330661
PECOS PAC ID: 6103978721
Enrollment ID: O20090713000442
Entity NameSt. Dominic Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407920549
PECOS PAC ID: 0446303168
Enrollment ID: O20090728000821
Entity NameOcean Springs Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871808022
PECOS PAC ID: 0244426195
Enrollment ID: O20101118000444
Entity NamePascagoula Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235442872
PECOS PAC ID: 8527241207
Enrollment ID: O20110318000278
Entity NameMaxem Health Urgent Care Flowood
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174070650
PECOS PAC ID: 9335429422
Enrollment ID: O20161207000648
Entity NameMaxem Health Urgent Care Magee
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235669136
PECOS PAC ID: 9537419643
Enrollment ID: O20180912000183
Entity NameMaxem Health Urgent Care Mccomb
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235619479
PECOS PAC ID: 6305181959
Enrollment ID: O20181231000649
Entity NameMaxem Health Urgent Care Diberville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265991608
PECOS PAC ID: 1759624968
Enrollment ID: O20190622000032
Entity NameHmv Diagnostics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043460744
PECOS PAC ID: 8123172020
Enrollment ID: O20210412000461

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. Kelli Elizabeth Pruitt 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
Kelli Elizabeth Pruitt,
2969 Curran Dr N,
Jackson, MS 39216-4121

Ph: (601) 540-5598		Kelli Elizabeth Pruitt,
2969 Curran Dr N,
Jackson, MS 39216-4121

Ph: (601) 540-5598

Reviews and Comments


Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C
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Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5657    
Susan B Patterson, NP-C
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Caryl P. Sumrall, FNP
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Kathryn L. Navarro, NP
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Practice Location: 1850 Chadwick Dr, Jackson, MS 39204
Phone: 904-805-1300    Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C
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Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216
Phone: 601-815-3045    
Emily Brumfield, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2500 North State Street, Jackson, MS 39216
Phone: 601-984-5500    Fax: 601-984-5503
Mrs. Tiffany Griffin,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3450 Highway 80 West, Jackson, MS 39209
Phone: 601-321-2400    

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.