Individual provider Active NPI

Bonnie Renee' Jones, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Mantachie, MS
National Provider Identifier
1013637529
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905269 Issued in MS
Practice address
285 Ivie LN
Mantachie, MS 38855-9764
Phone
(662) 282-4197
Fax
(662) 282-5121
NPI assigned
Sep 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905269 MS Primary

Addresses

Primary practice location

285 Ivie LN
Mantachie, MS 38855-9764

Mailing address

PO Box 279
Mantachie, MS 38855-0279
Phone (662) 282-4197

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
I20221128001056 MS Practitioner - Nurse Practitioner 4880062777 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Community Family Healthcare IncGroup PAC ID 3476578196, 2 clinicians

Practice addresses (Care Compare)

285 Ivie LN
Mantachie, MS 38855-9764
Phone (662) 282-4197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Family CurrentSince Nov 1, 2022 Accepting new patients
Signify Health, LLC CurrentSince Sep 14, 2024 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Nov 1, 2022 Accepting new patients
Community Family Healthcare, Inc Family CurrentSince Jul 1, 2024 Accepting new patients
Urgent Care at the Pointe, PLLC PastSince Oct 1, 2023 Accepting new patients
Express Care West, LLC PastSince Mar 1, 2024 Accepting new patients

Locations

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

285 Ivie Ln
Mantachie, MS 38855
Phone (662) 282-4197

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3600/brand/1/csg/43/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1013637529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388550279",
            "telephone_number": "662-282-4197",
            "fax_number": "662-282-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 IVIE LN",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388559764",
            "telephone_number": "662-282-4197",
            "fax_number": "662-282-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BONNIE",
        "middle_name": "RENEE'",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mantachie, MS

Sources for this page

Verify at the official NPI Registry.