NPIMap

Individual provider Active NPI

Karen Boone, NP-C

  • Family Nurse Practitioner
  • Summit, MS
National Provider Identifier
1144762568
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901697 Issued in MS
Practice address
PO Box 1268
Summit, MS 39666-1268
Phone
(601) 276-7665
Fax
(601) 276-7655
NPI assigned
Nov 16, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 901697 MS Primary

Addresses

Primary practice location

PO Box 1268
Summit, MS 39666-1268

Mailing address

PO Box 1268
Summit, MS 39666-1268
Phone (601) 276-7665

Other practice location 1

1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-8771

Other practice location 2

1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-8771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170502002472 MS Practitioner - Nurse Practitioner 6002193927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Copiah County Medical CenterGroup PAC ID 2062583487, 19 clinicians

Practice addresses (Care Compare)

27190 Hwy 28
Hazlehurst, MS 39083-2224
Phone (601) 574-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
901697MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Copiah County Medical Center CurrentSince Oct 25, 2021 Accepting new patients
Copiah County Medical Center CurrentSince May 1, 2022 Accepting new patients
Copiah County Medical Center CurrentSince May 1, 2022 Accepting new patients
Hardy Wilson Memorial Hospital Past Accepting new patients

Locations

123 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-2225

213 Caldwell Dr
Hazlehurst, MS 39083
Phone (601) 892-2225

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

1096 Beech St
Wesson, MS 39191
Phone (601) 643-5878

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FACFBD/Endpoint/FACFBD

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144762568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396661268",
            "telephone_number": "601-276-7665",
            "fax_number": "601-276-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396661268",
            "telephone_number": "601-276-7665",
            "fax_number": "601-276-7655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1668 W Peace St",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MS",
            "postal_code": "390465332",
            "country_code": "US",
            "telephone_number": "601-859-8771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1668 W Peace St",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MS",
            "postal_code": "390465332",
            "country_code": "US",
            "telephone_number": "601-859-8771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, MS

Sources for this page

Verify at the official NPI Registry.