Individual provider Active NPI

Ishmael Tomas Francisco

  • Family Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1104548528
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905561 Issued in MS
Practice address
423 N Young St
Corinth, MS 38834-5154
Phone
(662) 603-5904
NPI assigned
Sep 13, 2022
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 905561 MS Primary

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

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
I20230114000159 MS Practitioner - Nurse Practitioner 1759752512 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
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
905561MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Clinic of Ripley CurrentSince Jan 3, 2023 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Oct 1, 2025 Accepting new patients
Redmed, LLC CurrentSince Oct 1, 2025 Accepting new patients
Redmed, LLC CurrentSince Oct 1, 2025 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Oct 1, 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

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

Organizations & group practices 5

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": "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

Sources for this page

Verify at the official NPI Registry.