KRISTIE WHITEHEAD (FNP) – Family Nurse Practitioner, NPI 1962094680

KRISTIE WHITEHEAD (FNP) is a healthcare provider. based in Dennis, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 904392 (MS). The NPI Number for KRISTIE WHITEHEAD (FNP) is 1962094680

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIE WHITEHEAD (FNP)
NPI
1962094680
Phone
(662) 454-8588
Address
584 HIGHWAY 4
Enumeration Date
4 February 2021
Last Update Date
4 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6624541170
Graduation Year
2020 (6 years ago)
PAC ID
8628485794
Group Practice PAC ID
9537413786
Professional Enrollment ID
I20210408000500
Address ID
MS388277764BE8XXXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for KRISTIE WHITEHEAD (FNP)

  • 584 HIGHWAY 4

    DENNIS, MS 388389722

    Phone: (662) 454-8588

    Type: Mailing

  • 8 FRONT ST

    BELMONT, MS 388277764

    Phone: (662) 454-1170

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-06-24 • Largest payer in this snapshot: ABBVIE INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$15
View all Open Payments →|Open Payments Risk Radar →

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: 2021-04-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210408000500INurse PractitionerMSTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg46980$0
J0696Injection, ceftriaxone sodium, per 250 mg31848$0
99213Established patient office or other outpatient visit, 20-29 minutes239128$0
99214Established patient office or other outpatient visit, 30-39 minutes10972$0
36415Insertion of needle into vein for collection of blood sample9060$0
View full utilization report →

Insurance plans in this area (ZIP 38838)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537413786View full group profile

Reviews

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Frequently asked questions

Is there an official ID for KRISTIE WHITEHEAD (FNP) in U.S. healthcare records?
The official identifier for KRISTIE WHITEHEAD (FNP) is NPI 1962094680.
Would KRISTIE WHITEHEAD (FNP) appear as active to a payer?
You can treat KRISTIE WHITEHEAD (FNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KRISTIE WHITEHEAD (FNP)?
At a glance, KRISTIE WHITEHEAD (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Mississippi is KRISTIE WHITEHEAD (FNP) registered?
Use Dennis, Mississippi as the headline location for KRISTIE WHITEHEAD (FNP) here.
When was this NPI issued?
Enumeration for KRISTIE WHITEHEAD (FNP) is noted as February 4, 2021 where the registry provides it.

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