Individual provider Active NPI

Beverly Briscoe, FNP

  • Family Nurse Practitioner
  • Senatobia, MS
National Provider Identifier
1184629206
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R818032 Issued in MS
Practice address
403 Getwell Dr
Ste B
Senatobia, MS 38668-2231
Phone
(662) 301-1128
Fax
(662) 301-4430
NPI assigned
Jun 15, 2005
Last updated
Aug 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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 R818032 MS Primary

Addresses

Primary practice location

403 Getwell Dr
Ste B
Senatobia, MS 38668-2231

Mailing address

106 E Gilmore St
Senatobia, MS 38668-2701
Phone (662) 519-6494

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
I20041213000694 MS Practitioner - Nurse Practitioner 6103883038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinic 221 Family Health Care LLCGroup PAC ID 4880938992, 7 clinicians

Practice addresses (Care Compare)

4962 Hwy 305
Coldwater, MS 38618-5821
Phone (662) 370-5067

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.34 of 100Reported as individual
Quality
96.2
Promoting interoperability
100
Improvement activities
40
Cost
91.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R818032MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic 221, Family Health Care, LLC CurrentSince Sep 26, 2018 Accepting new patients

Locations

4962 Highway 305
Coldwater, MS 38618
Phone (662) 370-5067

400 Northwest Plz
Senatobia, MS 38668
Phone (662) 301-8330

Interoperability endpoints

  • Direct secure messaging: beverly.briscoe.1@18806.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18806/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 7

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1184629206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E GILMORE ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682701",
            "telephone_number": "662-519-6494",
            "fax_number": "662-301-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 GETWELL DR",
            "address_2": "STE B",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682231",
            "telephone_number": "662-301-1128",
            "fax_number": "662-301-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "BEVERLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R818032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Senatobia, MS

Sources for this page

Verify at the official NPI Registry.