Kimberly Pierce Nelson, NP in Jackson, MS - Medicare Nurse Practitioner

Kimberly Pierce Nelson, NP is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. Her current practice location is 969 Lakeland Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 200-6836.

Kimberly Pierce Nelson is licensed to practice in Mississippi (license number R865368) 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 1124334511.

Contact Information

	Kimberly Pierce Nelson, NP
	969 Lakeland Dr, Jackson, MS 39216-4606
	(601) 200-6836
	(601) 200-0128

Map and Direction

Provider's Profile

Full Name	Kimberly Pierce Nelson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	969 Lakeland Dr, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124334511
Provider Enumeration Date: 08/24/2010
Last Update Date: 07/20/2020

Medicare PECOS Information:

PECOS PAC ID: 5092997395
Enrollment ID: I20110308000585

Medical Identifiers

Medical identifiers for Kimberly Pierce Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124334511	NPI	-	NPPES
468179YKHV	Other	MS	MEDICARE ST DOM
07175291	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R865368 (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. Kimberly Pierce Nelson allows following entities to bill medicare on her behalf.

Entity Name	St. Dominic Jackson Memorial
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235173691 PECOS PAC ID: 4385531847 Enrollment ID: O20040301000818

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 Pierce Nelson 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 Pierce Nelson, NP Po Box 23457, Jackson, MS 39225-3457 Ph: (601) 200-6836	Kimberly Pierce Nelson, NP 969 Lakeland Dr, Jackson, MS 39216-4606 Ph: (601) 200-6836

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments 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

Kimberly Pierce Nelson, NP - Medicare Nurse Practitioner in Jackson, MS