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Active NPI 1073557039 Individual Practitioner Male Practitioner

Kenneth Kaiser , NP

Nurse Practitioner • Ridgeland, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kenneth Kaiser, NP is a certified Nurse Practitioner practicing in Ridgeland, MS. With approximately 26 years of clinical experience since completing medical education in 2000, Kenneth Kaiser delivers high-quality medical care to the local community at 11 PROFESSIONAL PKWY.

Kenneth Kaiser maintains professional affiliations with Indira Inc, Jackson Hb Medical Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, emergency department visit with straightforward medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11 Professional Pkwy

Ridgeland, MS 391574113

Telephone 6018562460
Fax 6018564687
Associated Practice Facility / Clinic
🏢 Indira Inc Facility NPI 1316128762

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ridgeland, MS

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +18.4 yrs vs City Avg
City Avg: 7.6 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
13 Specialists

Practicing in Ridgeland, MS (1098 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kaiser (26 Years) 26 Yrs
Ridgeland Specialty Average (7.6 Years) 7.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
79 76 $607.00 $95.67
99283 Emergency department visit with low level of medical decision making
30 29 $361.00 $56.22
99282 Emergency department visit with straightforward medical decision making
16 13 $210.00 $33.01

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS R856338

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00125332 (MS)
Medicaid State Provider ID
00125332 (MN)
Commercial Insurance / Payer ID Blue Cross
202011213A (MS)

Hospital & Practice Group Affiliations

Jackson Hb Medical Services Llc

1030 River Oaks Dr, Flowood, MS 392329553

Phone: 6019321030

Indira Inc

11 Professional Pkwy, Ridgeland, MS 391574114

Phone: 6018562460

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Wesley Granger , MD

Internal Medicine

NPI 1023030426

Doctor of Medicine (M.D.)

Adrian Mcclellan , NP

Nurse Practitioner - Family

NPI 1336426543

Nurse Practitioner

Dr. Wendell Glover , MD

Internal Medicine - Geriatric Medicine

NPI 1336535053

Doctor of Medicine (M.D.)

Gagandeep Bal

Nurse Practitioner

NPI 1578072245
NPI 1720011778

Doctor of Medicine (M.D.)

Anna Gatewood , FNP

Nurse Practitioner - Family

NPI 1770389744

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 25, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2011

Registered at 11 PROFESSIONAL PKWY, RIDGELAND, MS 391574113 (Tel: 6018562460)

📍
Updated Business Mailing Address February 25, 2011

Registered at 11 PROFESSIONAL PKWY, RIDGELAND, MS 391574113 (Tel: 6018562460)

👤
Provider Name / Credentials Updated February 25, 2011

Recorded as KENNETH KAISER, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2011

Nurse Practitioner (License #R856338 in MS)

🟢
Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073557039
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: February 25, 2011
Sole Proprietor: No

Mailing Address

11 Professional Pkwy

Ridgeland, MS 391574113

Phone: 6018562460

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.