Individual provider Active NPI

Ana Evelia Recinos, FNP

  • Family Nurse Practitioner
  • Ridgeland, MS
National Provider Identifier
1053196220
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906200 Issued in MS
Practice address
1107 Highland Colony Pkwy Ste 209
Ridgeland, MS 39157-6079
Phone
(601) 707-3737
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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 906200 MS Primary

Addresses

Primary practice location

1107 Highland Colony Pkwy Ste 209
Ridgeland, MS 39157-6079

Mailing address

1107 Highland Colony Parkway
Suite 209
Ridgeland, MS 39157-9551

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
I20231019000104 MS Practitioner - Nurse Practitioner 8022463512 Reassigns benefits to 1 organization

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
Trustcare Health, LLCGroup PAC ID 0547427858, 40 clinicians

Practice addresses (Care Compare)

601 Hwy 80 E
Clinton, MS 39056-5122
Phone (601) 708-1480

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trustcare Health, LLC CurrentSince Sep 11, 2023 Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients

Locations

601 Highway 80 E
Clinton, MS 39056
Phone (601) 708-1480

6176 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 475-0444

1073 Highway 51
Ste 105
Madison, MS 39110
Phone (601) 203-1570

1107 Highland Colony Pkwy
Ste 219
Ridgeland, MS 39157
Phone (601) 499-0651

1067 Highland Colony Pkwy
Ridgeland, MS 39157
Phone (601) 707-3490

1051 Highland Colony Pkwy
Ste E
Ridgeland, MS 39157
Phone (601) 707-3737

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19538/brand/2/csg/1/fhir/r4
  • Direct secure messaging: ana.recinos.1@19538.direct.athenahealth.com

Organizations & group practices 2

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1053196220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HIGHLAND COLONY PARKWAY",
            "address_2": "SUITE 209",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391579551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 HIGHLAND COLONY PKWY STE 209",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576079",
            "telephone_number": "601-707-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECINOS",
        "first_name": "ANA EVELIA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.