Individual provider Active NPI

Aquarius Taylor-Ross, FNP-C

  • Family Nurse Practitioner
  • Hernando, MS
National Provider Identifier
1053280305
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907816 Issued in MS
Practice address
1250 E Commerce St
Hernando, MS 38632-2456
Phone
(662) 298-2238
NPI assigned
Nov 4, 2025
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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 907816 MS Primary

Addresses

Primary practice location

1250 E Commerce St
Hernando, MS 38632-2456

Mailing address

836 Clarington Dr
Southaven, MS 38671-6018

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
I20260212004570 MS Practitioner - Nurse Practitioner 7416437199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redmed LLCGroup PAC ID 2961633656, 54 clinicians

Practice addresses (Care Compare)

1250 E Commerce St
Redmed
Hernando, MS 38632-2456
Phone (662) 298-2238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907816MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Urgent Care of Corinth, LLC CurrentSince Dec 20, 2025 Accepting new patients
Redmed, LLC CurrentSince Dec 20, 2025 Accepting new patients
Redmed, LLC CurrentSince Dec 20, 2025 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Dec 20, 2025 Accepting new patients

Locations

1002 N 2nd St
Booneville, MS 38829
Phone (662) 340-4375

2601 Getwell Rd
Ste 1
Corinth, MS 38834
Phone (662) 287-7138

1250 E Commerce St
Hernando, MS 38632
Phone (662) 298-2238

12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1053280305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 CLARINGTON DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E COMMERCE ST",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322456",
            "telephone_number": "662-298-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-ROSS",
        "first_name": "AQUARIUS",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, MS

Sources for this page

Verify at the official NPI Registry.