Individual provider Active NPI

Nancy Denise Hooks, NP

  • Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1174896245
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R867568 Issued in MS
Practice address
4250 S Eason Blvd
Tupelo, MS 38801-6549
Phone
(662) 377-6275
Fax
(662) 377-6299
NPI assigned
Feb 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R867568 MS Primary

Addresses

Primary practice location

4250 S Eason Blvd
Tupelo, MS 38801-6549

Mailing address

4250 S Eason Blvd
Tupelo, MS 38801-6549
Phone (662) 377-6275

Other identifiers 1

IdentifierTypeStateIssuer
C03449OtherMSMEDICARE GROUP NUMBER

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
I20120329000488 MS Practitioner - Nurse Practitioner 6901066836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2610 Traceland Dr
Suite a
Tupelo, MS 38801-4226
Phone (662) 322-2012

Merit-based Incentive Payment System (MIPS)

Final score
42.2 of 100Reported as individual
Quality
25
Improvement activities
0
Cost
73.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R867568MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hooks Diabetes & Medicine Clinic Current Accepting new patients
Panola Physician Group, LLC Past Accepting new patients

Locations

2610 Traceland Dr
Ste A
Tupelo, MS 38801
Phone (662) 260-4708

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1174896245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016549",
            "telephone_number": "662-377-6275",
            "fax_number": "662-377-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016549",
            "telephone_number": "662-377-6275",
            "fax_number": "662-377-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOKS",
        "first_name": "NANCY",
        "middle_name": "DENISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R867568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C03449",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.