MRS. KACIE MIRANDA PROCTOR NP-C
NPI 1558804971
Nurse Practitioner - Family in Rome, GA
NPI Status: Active since December 02, 2016
Contact Information
304 TURNER MCCALL BLVD SW
ROME, GA
ZIP 30165
Phone: (706) 509-5000
- Individual
- Female
- Nurse Practitioner
- Family
- PECOS Enrolled
- Medicare Quality Reporting
About KACIE PROCTOR
This page provides the complete NPI Profile along with additional information for Kacie Proctor, a provider established in Rome, Georgia with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1558804971 assigned on December 2016. The practitioner's primary taxonomy code is 363LF0000X with license number RN230749 (GA). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1558804971
- Provider Name
- MRS. KACIE MIRANDA PROCTOR NP-C
- Other Name
- MISS KACIE MIRANDA MINTER
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 304 TURNER MCCALL BLVD SW ROME, GA 30165
- Location Phone
- (706) 509-5000
- Mailing Address
- 304 TURNER MCCALL BLVD SW ROME, GA 30165
- Mailing Phone
- (706) 509-5000
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-02-2016
- Last Update Date
- 04-12-2017
- Code Navigator
A nurse practitioner (NP) like Kacie Proctor is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN230749
- License State
- GA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WE0003X | Nursing Service Providers | Registered Nurse | RN230749 (GA) |
Medicare Participation & PECOS Enrollment Status
Kacie Proctor is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 30165 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.23
- Minimum New Patient Price $53.31
- Maximum New Patient Price $164.04
- Average New Patient Copayment $20.8
- Minimum New Patient Copayment $13.32
- Maximum New Patient Copayment $41.01
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.84
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $133.24
- Average Established Patient Copayment $23.71
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 100% | 139 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
Reviews for MRS. KACIE MIRANDA PROCTOR NP-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 5 | 8 | 8 | 0 | 4 | 9 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 16 | 0 | 8 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 1 + 6 + 0 + 8 + 9 + 1 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1558804971 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467466946 | KRISTOFER RYAN FOREMAN P.A. Individual | Physician Assistant (Medical) | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-5000 |
| 1134133648 | WILLIAM M GARNER N.P. Individual | Nurse Practitioner (Family) | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-5000 |
| 1639183148 | JILL G POTTINGER M.D. Individual | Emergency Medicine | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-6122 |
| 1457365835 | DEWEY HAMMOND III M.D. Individual | Emergency Medicine | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-6122 |
| 1649284142 | JAMES D POTTINGER JR. P.A. Individual | Physician Assistant (Medical) | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-6122 |
| 1093729485 | JOHN KEVIN HARDWELL M.D. Individual | Emergency Medicine | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-6122 |
| 1639183965 | GEORGE E MALCOM JR. M.D. Individual | Emergency Medicine | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-6122 |
| 1609884196 | JENNIFER M GOLDBACH P.A. Individual | Physician Assistant (Medical) | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-5000 |
| 1811907124 | FLOYD EMERGENCY PHYSICIANS, LLC Organization | Emergency Medicine | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-6100 |
| 1407956709 | JAMES LEBRON MCBRIDE LMFT Individual | Psychologist | 304 TURNER MCCALL BLVD SW SUITE 201 ROME, GA 30165 (706) 509-3300 |
| 1447308739 | JALLEH VAFAI M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-5000 |
| 1679785984 | CONNIE LYNN SIMPSON N.P. Individual | Nurse Practitioner | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-6800 |
| 1649474578 | DR. JESSICA CLAYTON MCCOUN M.D. Individual | Anesthesiology | 304 TURNER MCCALL BLVD SW DEPARTMENT OF ANESTHESIA ROME, GA 30165 (646) 413-1797 |
| 1790010528 | LARRY ALAN LAVENDER CRNA Individual | Nurse Anesthetist, Certified Registered | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 291-2131 |
| 1215249958 | DR. MATTHEW DAVID MIDDLETON PHARMD Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-5910 |
| 1205128279 | CARLA DESIREE COX RD Individual | Dietitian, Registered | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-5000 |
| 1285926253 | JANET MYTRICE CHILDRE RD Individual | Dietitian, Registered | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-5000 |
| 1730460437 | LANI MICHELLE ROBERTS Individual | Anesthesiologist Assistant | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-6885 |
| 1316205289 | FIRST GLOBAL HEALTH SYSTEMS INC Organization | Anesthesiology | 304 TURNER MCCALL BLVD SW ROME, GA 30165 (706) 509-4179 |
| 1538414495 | MS. JACI F WILSON APRN Individual | Nurse Practitioner (Acute Care) | 304 TURNER MCCALL BLVD SW HOSPITALIST OFFICE ROME, GA 30165 (706) 378-9833 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558804971, enumerated in the NPI registry as an "individual" on December 02, 2016
The provider is located at 304 Turner Mccall Blvd Sw Rome, Ga 30165 and the phone number is (706) 509-5000
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.23 with an average copayment of $20.8 for new patient appointments. Established patients should expect a typical charge of $94.84 and an average copayment of 23.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on December 02, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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