Active NPI
Renay Danielle Ely Hinkle, FNP-C
- Family Nurse Practitioner
- Pascagoula, MS
National Provider Identifier
1205296704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 901458
- Practice address
- 4105 Hospital St
Suite 103
Pascagoula, MS 39581-5312 - Phone
- (228) 762-8712
- NPI assigned
- Feb 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 901458 | MS | Primary |
Addresses
Primary practice location
4105 Hospital St
Suite 103
Pascagoula, MS 39581-5312
Mailing address
4105 Hospital St
Suite 103
Pascagoula, MS 39581-5312
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210420001585 | MS | Practitioner - Nurse Practitioner | 6406264076 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901458 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Childrens Clinic of Pascagoula PLLC | Past | Accepting new patients |
Locations
1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494
15024 Mlk
Gulfport, MS 39501
Phone (228) 846-0003
Interoperability endpoints
- renay.hinkle.p1@direct.cfhc.nextgenshare.com
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Federally Qualified Health Center (FQHC)
- Biloxi, MS
- NPI 1629066782
MS
-
- Federally Qualified Health Center (FQHC)
- Lucedale, MS
- NPI 1427842913
-
- Pediatrics Physician
- Pascagoula, MS
- NPI 1750316907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1205296704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 HOSPITAL ST",
"address_2": "SUITE 103",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395815312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 HOSPITAL ST",
"address_2": "SUITE 103",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395815312",
"telephone_number": "228-762-8712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELY HINKLE",
"first_name": "RENAY",
"middle_name": "DANIELLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-26",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "901458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pascagoula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.