Individual provider Active NPI

Catherine Elizabeth Clingan, NP

  • Nurse Practitioner
  • Madison, MS
National Provider Identifier
1013498435
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
902778 Issued in MS
Practice address
129 Fountains Blvd Ste 201
Madison, MS 39110-6361
Phone
(769) 300-0730
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 902778 MS Primary

Addresses

Primary practice location

129 Fountains Blvd Ste 201
Madison, MS 39110-6361

Mailing address

139 Ashbrooke Blvd
Madison, MS 39110-7775
Phone (601) 540-2927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181113000710 MS Practitioner - Nurse Practitioner 5496009300 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Pain Center of MississippiGroup PAC ID 5193893014, 5 clinicians

Practice addresses (Care Compare)

129 Fountains Blvd
Suite 201
Madison, MS 39110-6361
Phone (769) 300-0730

Hospital & facility affiliations

  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes & Endocrine Institute, PLLC CurrentSince Oct 1, 2018 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 28, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 28, 2023 Accepting new patients
Comprehensive Pain Center of Mississippi CurrentSince Sep 15, 2022 Accepting new patients
Brenda P Hines MD PLLC PastSince Sep 1, 2021 Accepting new patients
Diabetes and Endocrine Institute PastSince Oct 1, 2018 Accepting new patients

Locations

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

2610 Courthouse Cir
Flowood, MS 39232
Phone (601) 932-1223

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

350 W Woodrow Wilson Ave
Jackson, MS 39213
Phone (601) 364-2666

129 Fountains Blvd
Ste 201
Madison, MS 39110
Phone (769) 300-0730

Interoperability endpoints

  • Direct secure messaging: catherine.clingan.1@33737.direct.athenahealth.com
  • Direct secure messaging: bclingan193524@ummc.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1013498435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 ASHBROOKE BLVD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107775",
            "telephone_number": "601-540-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 FOUNTAINS BLVD STE 201",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106361",
            "telephone_number": "769-300-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGAN",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.