Doctor profile · Federal record

Dr. KELSI FEDUCCIA, NP

Nurse Practitioner · JACKSON, MS

  • NPI 1861195422
  • Accepts Medicare
  • 4 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
969 LAKELAND DR
JACKSON, MS 392164699
(601) 200-2000

Credentials & registration

NPPES · NUCC
NPI registered
March 2023 — 3 yrs on file
Profile last updated
April 1, 2024
Year of graduation
2022 — 4 yrs since
Specialty taxonomy
363L00000X — NUCC code
State license (1)
Mississippi #905770

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1861195422. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$15
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Genentech USA, Inc. 1 $14.70

By nature of payment

Food and Beverage
$15