Active NPI
Marnisha Hatch
- Family Nurse Practitioner
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 906598
- Practice address
- 188 E Capitol St Ste 700
Jackson, MS 39201-2144 - Phone
- (888) 562-5442
- Fax
- (844) 861-1929
- NPI assigned
- Aug 27, 2024
- Last updated
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11039248 | FL | |
| Family Nurse Practitioner | 363LF0000X | ARNP.AP.70159549-NP | WA | |
| Family Nurse Practitioner | 363LF0000X | 906598 | MS | Primary |
| Family Nurse Practitioner | 363LF0000X | 7671086 | ID |
Addresses
Primary practice location
188 E Capitol St Ste 700
Jackson, MS 39201-2144
Mailing address
188 E Capitol St Ste 700
Jackson, MS 39201-2144
Phone (888) 562-5442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, FL, CT, OH, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 Oceangate
Suite 100
Long Beach, CA 90802-4316
200 Oceangate
Suite 100
Long Beach, CA 90802-4317
733 Bearing Way
Brandon, MS 39047-2301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7671086 | ID | MD | Family Nurse Practitioner |
| 906598 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Care Connections, LLC. | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
175 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 249-6752
8300 NW 33rd St
Ste 400
Doral, FL 33122
Phone (305) 908-3526
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
2001 Butterfield Rd
Ste 750
Downers Grove, IL 60515
Phone (630) 381-1757
188 E Capitol St
Ste 700
Jackson, MS 39201
Phone (844) 809-8438
3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042
Interoperability endpoints
- mhatch17213@direct-prd.molinahealthcare.com
Organizations & group practices 1
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.
-
dba Molina CC
- Nurse Practitioner
- Long Beach, CA
- NPI 1407243223
CT, FL, ID, MS, OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1144054701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 E CAPITOL ST STE 700",
"city": "JACKSON",
"state": "MS",
"postal_code": "392012144",
"telephone_number": "888-562-5442",
"fax_number": "844-861-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 E CAPITOL ST STE 700",
"city": "JACKSON",
"state": "MS",
"postal_code": "392012144",
"telephone_number": "888-562-5442",
"fax_number": "844-861-1929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "MARNISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-27",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11039248",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "ARNP.AP.70159549-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "906598",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "7671086",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.