Active NPI
Bonnie Renee' Jones, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Mantachie, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 905269
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Clinics Inc | Family | Current | Accepting new patients |
| Signify Health, LLC | Current | Accepting new patients | |
| North Mississippi Medical Clinics Inc | Current | Accepting new patients | |
| Community Family Healthcare, Inc | Family | Current | Accepting new patients |
| Urgent Care at the Pointe, PLLC | Past | Accepting new patients | |
| Express Care West, LLC | Past | 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
- 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.
-
- Internal Medicine Physician
- Tupelo, MS
- NPI 1053469486
Family, MS
-
- Obstetrics & Gynecology Physician
- West Point, MS
- NPI 1588769970
-
- Urgent Care Clinic/Center
- Tupelo, MS
- NPI 1679800841
-
- Urgent Care Clinic/Center
- Aberdeen, MS
- NPI 1972277820
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.