Jessica Clark Mills, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R902312 Issued in MS

Practice address

16569 W Main St
Louisville, MS 39339-2647

Phone

(662) 773-5704

Fax

(662) 773-9463

NPI assigned

Sep 15, 2017

Last updated

Jan 4, 2023By 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 2

Addresses

Other identifiers 1

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winston County Medical FoundationGroup PAC ID 7315943255, 29 clinicians

Winston Medical Clinic LLCGroup PAC ID 7214170968, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mississippi Homecare of Eupora Home health agency, Eupora, MS, CCN 257122
• Accentcare Home Health of Carthage Home health agency, Carthage, MS, CCN 257129
• Winston Medical Center Hospital, Louisville, MS, CCN 250027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.mills.2@15070.direct.athenahealth.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.

• Winston County Medical Foundation

  dba Winston Medical Center

  • General Acute Care Hospital
  • Louisville, MS
  • NPI 1316078108
  Medicare reassignment Care Compare group NPD
• Winston Medical Clinic LLC

  • Rural Health Clinic/Center
  • Louisville, MS
  • NPI 1629417324
  Medicare reassignment Care Compare group NPD
• Ard Medical Clinic PLLC

  • Primary Care Clinic/Center
  • Louisville, MS
  • NPI 1205024163
  NPD
• Winston Medical Clinic LLC

  dba Winston Medical Clinic Noxapater

  • Rural Health Clinic/Center
  • Noxapater, MS
  • NPI 1588091714
  NPD

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

• Able Home Health, Inc.

  dba Mississippi HomeCare of Eupora

  • Home Health Agency
  • Eupora, MS
  • NPI 1659483196
  Care Compare affiliation
• Sta-Home Health Agency of Carthage, Inc

  dba AccentCare Home Health of Carthage

  • Home Health Agency
  • Carthage, MS
  • NPI 1275674533
  Care Compare affiliation
• Winston County Medical Foundation

  dba Winston Medical Center

  • General Acute Care Hospital
  • Louisville, MS
  • NPI 1073597126
  Care Compare affiliation

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1205355765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393390470",
            "telephone_number": "662-773-5704",
            "fax_number": "662-773-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16569 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392647",
            "telephone_number": "662-773-5704",
            "fax_number": "662-773-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JESSICA",
        "middle_name": "CLARK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R902312",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902312",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002487838",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Midtown Medical and Wellness, LLC
• Anna R Miles, O.D.
• George Miller, MED
• Mind Over Matter Psychiatry and Wellness, PLLC
• Mississippi State Department of Health
• Bobby Bell Moody, PT, DPT
• Ms Eye Care PA (Mississippi Eye Care Louisville)
• Henry Christian Nguyen

• Nurse Practitioner in Louisville, MS
• Providers in Louisville, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.