Look up the most recent NPI and PECOS records

Kelli P. Mooney

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

7100 U S Highway 98 Ste 220, Hattiesburg, MS 39402-8557

PECOS Enrollment

This provider is enrolled in PECOS as KELLI MOONEY.

Based on the most recent information from CMS, provider Kelli P. Mooney is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1205288495
Provider Type
Individual
Full Name
Mooney, Kelli P.
Title
Ms.
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
7/12/2016
Last Updated
7/12/2016

Contact Information

Practice Location

7100 U S Highway 98 Ste 220, Hattiesburg, MS 39402-8557

(601) 582-7655

(601) 582-3220

Mailing Location

7100 U S Highway 98 Ste 220, Hattiesburg, MS 39402-8557

(601) 582-7655

(601) 582-3220

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 884545 Mississippi

Kelli P. Mooney

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Carpenter, Avery

Boyette, Aleza Marie

Marsh, John E.

Runnels, Bridgette

Cochran, Shelley S

Chatham, Tarah

Brumfield, Shermanda M

Cochran, Leigh Ann

Beacon Healthcare Associates, Pllc

Perkins, Kayla Leigh Ashley