Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katelyn Stalnaker Richardson, AGNP-C

Individual provider Registered Nurse · NPI 1003414509

Katelyn Stalnaker Richardson, AGNP-C is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2022, 4 years ago. Practices with North Mississippi Medical Center Services LLC, a 30-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

499 Gloster Creek Vlg Ste G1
Tupelo, MS 38801-4751
Phone: (662) 377-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 905648 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 897205 (MS)

Record details

NPI number1003414509
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedOctober 15, 2020
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North Mississippi Medical Center Services Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Tupelo