Individual provider Active NPI

Rhagen Nelson

  • Psychiatric/Mental Health Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1033769245
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
903558 Issued in MS
Practice address
1203 Medical Park Dr
Oxford, MS 38655-5327
Phone
(662) 234-7601
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 903558 MS Primary
Family Nurse Practitioner 363LF0000X 903558 MS

Addresses

Primary practice location

1203 Medical Park Dr
Oxford, MS 38655-5327

Mailing address

200 Bolden Rd
Holly Springs, MS 38635-9194
Phone (662) 544-4307

Other practice location 1

210 State Highway 30 W
New Albany, MS 38652-3112
Phone (662) 539-7014

Other practice location 2

4428 S Eason Blvd
Tupelo, MS 38801-6506
Phone (662) 234-7601

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
I20200302000218 MS Practitioner - Nurse Practitioner 7810324951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Right Track Medical Group, IncGroup PAC ID 8729403415, 26 clinicians

Practice addresses (Care Compare)

1203 Medical Park Dr
Oxford, MS 38655-5327
Phone (662) 234-7601

200 Hwy 12 E
Starkville, MS 39759-3766
Phone (662) 234-7601

9035 E Sandidge Rd
Suite 201
Olive Branch, MS 38654-3563
Phone (662) 234-7601

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Right Track Medical Group, Inc CurrentSince Oct 30, 2023 Accepting new patients
Spring Valley Hospice, LLC CurrentSince Oct 5, 2021 Accepting new patients
Precise Clinical Neuroscience Specialists Past Accepting new patients
Beacon Behavioral of Mississippi, LLC PastSince Jul 21, 2024 Accepting new patients

Locations

2200 S Bowman Rd
Ste A
Little Rock, AR 72211
Phone (501) 558-4100

7139 Commerce Dr
Ste B3
Olive Branch, MS 38654
Phone (501) 558-4111

9035 E Sandidge Rd
Ste 201
Olive Branch, MS 38654
Phone (662) 408-4631

1203 Medical Park Dr
Oxford, MS 38655
Phone (662) 513-4399

200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900

4428 S Eason Blvd
Tupelo, MS 38801
Phone (601) 844-5080

4428 S Eason Blvd
Ste 1
Tupelo, MS 38801
Phone (662) 260-4533

Organizations & group practices 4

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1033769245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOLDEN RD",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386359194",
            "telephone_number": "662-544-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 MEDICAL PARK DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555327",
            "telephone_number": "662-234-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 State Highway 30 W",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523112",
            "country_code": "US",
            "telephone_number": "662-539-7014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4428 S Eason Blvd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016506",
            "country_code": "US",
            "telephone_number": "662-234-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RHAGEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903558",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.