Individual provider Active NPI

Racheal Marie Pritchett, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1174068076
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
901693 Issued in MS
Practice address
2626 Southerland St Ste 100
Jackson, MS 39216-4825
Phone
(601) 376-9144
NPI assigned
Dec 31, 2016
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 901693 MS Primary

Addresses

Primary practice location

2626 Southerland St Ste 100
Jackson, MS 39216-4825

Mailing address

2626 Southerland St Ste 100
Jackson, MS 39216-4825
Phone (601) 376-9144

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
I20201002001307 MS Practitioner - Nurse Practitioner 2163841677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2626 Southerland St
Suite 100
Jackson, MS 39216-4825
Phone (601) 376-9144

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anchored Hope Clinic, PLLC Psychiatric/Mental Health CurrentSince Sep 13, 2021 Accepting new patients
Jackson Psychiatry Group Psychiatric/Mental Health Past Accepting new patients

Locations

2626 Southerland St
Ste 100
Jackson, MS 39216
Phone (601) 376-9144

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, 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": "1483142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1174068076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 SOUTHERLAND ST STE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164825",
            "telephone_number": "601-376-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 SOUTHERLAND ST STE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164825",
            "telephone_number": "601-376-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHETT",
        "first_name": "RACHEAL",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-31",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "901693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.