Individual provider Active NPI

Mary Hamilton Harkins, MSN, NP-C

  • Family Nurse Practitioner
  • Madison, MS
National Provider Identifier
1033419809
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901788 Issued in MS
Practice address
1082 Gluckstadt Rd
Madison, MS 39110-7243
Phone
(601) 707-5621
NPI assigned
Oct 27, 2010
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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 901788 MS Primary

Addresses

Primary practice location

1082 Gluckstadt Rd
Madison, MS 39110-7243

Mailing address

1082 Gluckstadt Rd
Madison, MS 39110-7243
Phone (601) 707-5621

Other practice location 1

3601 The Vanderbilt Clinic
Nashville, TN 37232-5100
Phone (615) 936-8624

Other names 1

  • Mary Chestnut Former name

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
I20230217001133 MS Practitioner - Nurse Practitioner 4284866443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-4775

Hospital & facility affiliations

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
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 14, 2024 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Sep 14, 2024 Accepting new patients
PSP Medical Clinic PastSince Mar 7, 2021 Accepting new patients
University Physicians, PLLC Past Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: mary.harkins.d1.p1@direct.magnoliamedical.nextgenshare.com
  • Direct secure messaging: mary.harkins.p1@direct.magnoliamedical.nextgenshare.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1033419809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 GLUCKSTADT RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107243",
            "telephone_number": "601-707-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1082 GLUCKSTADT RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107243",
            "telephone_number": "601-707-5621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 The Vanderbilt Clinic",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372325100",
            "country_code": "US",
            "telephone_number": "615-936-8624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARKINS",
        "first_name": "MARY",
        "middle_name": "HAMILTON",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CHESTNUT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.