Nikisha Newsom, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

901921 Issued in MS

Practice address

12 Brunswick St
Byhalia, MS 38611-7000

Phone

(662) 838-2163

NPI assigned

Jun 6, 2017

Last updated

Jun 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Mississippi Health Care IncGroup PAC ID 5294717377, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HECABD
• FHIR API: https://fhir4.healow.com/fhir/r4/HECABD/Endpoint/HECABD
• Direct secure messaging: nikisha.newsom@lcabe.eclinicaldirectplus.com

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.

• Northeast Mississippi Health Care, Inc.

  dba Byhalia Family Health Center - Medical

  • Federally Qualified Health Center (FQHC)
  • Byhalia, MS
  • NPI 1558410738
  Medicare reassignment Care Compare group NPD
• Northeast Mississippi Health Care, Inc

  dba DeSoto Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Southaven, MS
  • NPI 1447665385
  NPD
• Northeast Mississippi Health Care, Inc.

  dba Mt. Pleasant Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Mt. Pleasant, MS
  • NPI 1386792992
  NPD

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

• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  Care Compare affiliation

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1033648803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386110698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BRUNSWICK ST",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386117000",
            "telephone_number": "662-838-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "NIKISHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Monique Mack, DDS
• Henry Grady Marlow III, M.D.
• Robert Lee McLeroy
• Mobile-Med Work Health Solutions, Inc. (Work Health Solutions)
• Rochelle Encarnacion Morris
• Nexion Health at Byhalia, Inc. (Great Oaks Rehabilitation and Healthcare Center)
• North Mississippi Foot Specialists PC
• Northeast Mississippi Health Care, Inc. (Byhalia Family Health Center - Medical)
• Northeast Ms Health Care, Inc. (Byhalia Family Health Center - Dental)
• Ashley Katrice Phillips, OTR/L

• Family Nurse Practitioner in Byhalia, MS
• Providers in Byhalia, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.

Verify at the official NPI Registry.