Elizabeth Clark Allen, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R871440 Issued in MS

Practice address

728 Clinton Pkwy Ste B
Clinton, MS 39056-5227

Phone

(601) 200-4800

Fax

(601) 200-4805

NPI assigned

Feb 18, 2010

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quad Intermed Company LLCGroup PAC ID 6709245954, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
• Mississippi Homecare of Jackson Home health agency, Jackson, MS, CCN 257082
• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
• Baptist Medical Center-Yazoo Hospital, Yazoo City, MS, CCN 251313
• Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

Merit-based Incentive Payment System (MIPS)

Final score

83.49 of 100Reported as group

Quality

72.89

Promoting interoperability

100

Improvement activities

40

Cost

72.07

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eallen2546011@direct.casso.us.com

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.

• Quad Intermed Company LLC

  • Clinic/Center
  • Laurel, MS
  • NPI 1952099913
  Medicare reassignment Care Compare group NPD
• Quad Intermed Company LLC

  dba MEA Medical Clinics

  • Clinic/Center
  • Pearl, MS
  • NPI 1205619483
  NPD
• Quad Intermed Company LLC

  dba MEA Medical Clinic

  • Clinic/Center
  • Canton, MS
  • NPI 1245013424
  NPD
• Quad Intermed Company LLC

  • Clinic/Center
  • Yazoo City, MS
  • NPI 1093403065
  NPD (past)

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

• Baptist Medical Center - Yazoo, Inc

  • Critical Access Hospital
  • Yazoo City, MS
  • NPI 1619918075
  Care Compare affiliation
• Mississippi Baptist Medical Center, Inc.

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1710909585
  Care Compare affiliation
• Mississippi Homecare of Jackson II, LLC

  dba Mississippi HomeCare / Jackson

  • Home Health Agency
  • Jackson, MS
  • NPI 1730373275
  Care Compare affiliation
• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065
  Care Compare affiliation
• Sta-Home Health Agency of Jackson, Inc.

  dba AccentCare Home Health of Jackson

  • Home Health Agency
  • Clinton, MS
  • NPI 1356482749
  Care Compare affiliation

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1184946170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23666",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253666",
            "telephone_number": "601-200-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 CLINTON PKWY STE B",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565227",
            "telephone_number": "601-200-4800",
            "fax_number": "601-200-4805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164606",
            "country_code": "US",
            "telephone_number": "601-200-4560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 Treetops Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392327612",
            "country_code": "US",
            "telephone_number": "601-200-3131",
            "fax_number": "601-200-3109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ELIZABETH",
        "middle_name": "CLARK",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R871440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08287001",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01198568",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Clinton, MS
• Providers in Clinton, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.

Verify at the official NPI Registry.