Individual provider Active NPI

Sara Aileen Knight, FNP

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1083852131
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R857908 Issued in MS
Practice address
Compere's Nursing Home
865 North St
Jackson, MS 39202
Phone
(601) 206-0901
Fax
(888) 240-6288
NPI assigned
Jan 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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 R857908 MS Primary

Addresses

Primary practice location

Compere's Nursing Home
865 North St
Jackson, MS 39202

Mailing address

213 Silas Trce
Ridgeland, MS 39157-9743
Phone (601) 506-4442

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
I20111019000975 MS Practitioner - Nurse Practitioner 2769654573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Systems Management, LLCGroup PAC ID 5092964643, 49 clinicians
Medserve, PAGroup PAC ID 8628253978, 7 clinicians

Practice addresses (Care Compare)

129 Ctr St
Suite B
Richland, MS 39218-4800
Phone (769) 233-7141

865 N St
Compere's Nursing Home
Jackson, MS 39202-3020
Phone (601) 206-0901

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R857908MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medserve, PA CurrentSince Dec 15, 2015 Accepting new patients

Locations

205 Byram Pkwy
Byram, MS 39272
Phone (601) 362-5349

310 Emerald Dr
Columbus, MS 39702
Phone (662) 244-8823

4540 Manhattan Rd
Jackson, MS 39206
Phone (601) 982-5505

865 North St
Jackson, MS 39202
Phone (601) 348-6531

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": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1083852131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 SILAS TRCE",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391579743",
            "telephone_number": "601-506-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMPERE'S NURSING HOME",
            "address_2": "865 NORTH ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39202",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "SARA",
        "middle_name": "AILEEN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R857908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.