Ishmael Tomas Francisco
Individual provider Active NPI Family Nurse Practitioner · Corinth, MS
NPI 1104548528 · NPPES record last updated Sep 13, 2022
Key facts
- NPI
- 1104548528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 905561 (MS)
- Practice address
- 423 N Young St
Corinth, MS 38834-5154 - Phone
- (662) 603-5904
- NPI assigned
- Sep 13, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Redmed LLC
Practice addresses (Care Compare)
1250 E Commerce St
Redmed
Hernando, MS 38632-2456
Phone (662) 298-2238
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230114000159 | MS | Practitioner - Nurse Practitioner | 1759752512 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905561 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redmed, LLC | Current |
Accepting new patients | |
| Redmed, LLC | Current |
Accepting new patients | |
| Physicians Urgent Care of Corinth, LLC | Current |
Accepting new patients | |
| Physicians Urgent Care of Corinth, LLC | Current |
Accepting new patients | |
| Family Care Clinic of Ripley | Current |
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
1902 Jackson Ave W
#B
Oxford, MS 38655
Phone (662) 234-6464
12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044
1331 City Ave N
Ripley, MS 38663
Phone (662) 993-9336
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 905561 | MS | Yes |
Addresses
Primary practice location
423 N Young St
Corinth, MS 38834-5154
Mailing address
423 N Young St
Corinth, MS 38834-5154
Phone (662) 603-5904
NPI Registry JSON
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1104548528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 N YOUNG ST",
"city": "CORINTH",
"state": "MS",
"postal_code": "388345154",
"telephone_number": "662-603-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 N YOUNG ST",
"city": "CORINTH",
"state": "MS",
"postal_code": "388345154",
"telephone_number": "662-603-5904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCISCO",
"first_name": "ISHMAEL",
"middle_name": "TOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-13",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "905561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corinth, MS
- Kelsie Follin
- Formulaone Pharmaceuticals, LLC
- John Eric Foropoulos
- Blakley Atkins Fowler
- Jacqueline A Fraiser
- Randall Parks Frazier
- Freds Stores of Tennessee Inc
- Freds Stores of Tennessee Inc
- Megan Gaillard
- Vicki Denise Gann
All providers in Corinth, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.