KENNETH S PARKER (ACNP) – Acute Care Nurse Practitioner, NPI 1407964844
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
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Provider Addresses for KENNETH S PARKER (ACNP)
404, South 13th Avenue, Laurel, Jones County, Mississippi, 39440, United States
LAUREL, MS 394404345
Phone: (601) 425-5544
Fax: (601) 425-5525
Type: Location
Hattiesburg Clinic, 415, South 28th Avenue, Innswood, Hattiesburg, Forrest County, Mississippi, 39401, United States
HATTIESBURG, MS 394017246
Phone: (601) 425-5544
Fax: (601) 579-5240
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-12-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051227000317 | I | Nurse Practitioner | MS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 59 | 37 | $0 |
Insurance plans in this area (ZIP 39440)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MS | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 96 | 88 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MS | |
| Nurse Practitioner | MS | |
| Family Practice | KY | |
| - | MS | |
| - | MS | |
| - | MS | |
| Emergency Medicine | MS | |
| - | MS | |
| - | MS | |
| Family Practice | MS |
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