Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Krista Bain Blaylock, NP

Individual provider Nurse Practitioner · NPI 1609178094

Mrs. Krista Bain Blaylock, NP is a Nurse Practitioner in Kosciusko, Mississippi. Qualified in 2010, 16 years ago. Practices with Premier Medical Group of Mississippi LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
16
Licensed in
MS
In the registry since
2010
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

332 Highway 12 W
Kosciusko, MS 39090-3209
Phone: (662) 289-1800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R863824 (MS)
Family Health Clinical Nurse Specialist Taxonomy 364SF0001X · Licence R863824 (MS)

Record details

NPI number1609178094
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 17, 2010
Last updated in NPPESAugust 21, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Premier Medical Group Of Mississippi Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kosciusko