Individual provider Active NPI

Jane Denton Desper, NP

  • Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1033948237
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
906760 Issued in MS
Practice address
104 Burney Dr
Flowood, MS 39232-6621
Phone
(601) 987-8200
Fax
(601) 987-8211
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 906760 MS Primary

Addresses

Primary practice location

104 Burney Dr
Flowood, MS 39232-6621

Mailing address

104 Burney Dr
Flowood, MS 39232-6621
Phone (601) 987-8200

Other practice location 1

745 Clinton Pkwy
Clinton, MS 39056-5245
Phone (601) 987-8200

Other practice location 2

106 Highland Way Ste 102
Madison, MS 39110-6933
Phone (601) 987-8200

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
I20240903000735 MS Practitioner - Nurse Practitioner 0941749147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Orthopaedic Clinic, PLLCGroup PAC ID 0941215255, 49 clinicians
KDMC Physician Clinics LLCGroup PAC ID 7012154495, 31 clinicians

Practice addresses (Care Compare)

104 Burney Dr
Flowood, MS 39232-6621
Phone (601) 987-8200

601 Brookman Dr Ext a
KDMC Orthopedic Clinic
Brookhaven, MS 39601-2371
Phone (601) 823-5275

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Orthopaedic Clinic, PLLC CurrentSince Oct 20, 2019 Accepting new patients
KDMC Physician Clinics LLC CurrentSince Feb 5, 2025 Accepting new patients
Capital Orthopaedic Clinic PLLC CurrentSince Jun 27, 2024 Accepting new patients
Capital Orthopedic Clinic PLLC Past Accepting new patients

Locations

950 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 833-7973

601 Brookman Dr Ext
#A
Brookhaven, MS 39601
Phone (601) 823-5275

745 Clinton Pkwy
Clinton, MS 39056

104 Burney Dr
Flowood, MS 39232
Phone (601) 987-8202

106 Highland Way
Ste 102
Madison, MS 39110

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/6393/brand/1/csg/41/fhir/r4

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.

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": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1033948237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BURNEY DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392326621",
            "telephone_number": "601-987-8200",
            "fax_number": "601-987-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BURNEY DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392326621",
            "telephone_number": "601-987-8200",
            "fax_number": "601-987-8211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Clinton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390565245",
            "country_code": "US",
            "telephone_number": "601-987-8200",
            "fax_number": "601-987-8211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Highland Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106933",
            "country_code": "US",
            "telephone_number": "601-987-8200",
            "fax_number": "601-987-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESPER",
        "first_name": "JANE",
        "middle_name": "DENTON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "906760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.