Individual provider Active NPI

Renay Danielle Ely Hinkle, FNP-C

  • Family Nurse Practitioner
  • Pascagoula, MS
National Provider Identifier
1205296704
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901458 Issued in MS
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

Updated by the provider on Feb 26, 2016

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
901458MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Health Center, Inc CurrentSince Apr 1, 2021 Accepting new patients
Coastal Family Health Center, Inc CurrentSince Apr 1, 2021 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

  • Direct secure messaging: renay.hinkle.p1@direct.cfhc.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.