Individual provider Active NPI

Rita Testa Ragan, FNP-BC

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1255584173
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9405872 Issued in FL
Practice address
2089 Southridge Dr
Tupelo, MS 38801-6478
Phone
(662) 407-0801
Fax
(662) 821-0422
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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 ARNP9405872 FL Primary

Addresses

Primary practice location

2089 Southridge Dr
Tupelo, MS 38801-6478

Mailing address

105 Southpark Blvd C300
Saint Augustine, FL 32086-4162
Phone (904) 808-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150921001071 FL Practitioner - Nurse Practitioner 5496804056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.36 of 100Reported as group
Quality
96.2
Promoting interoperability
100
Improvement activities
40
Cost
63.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ouch, PA CurrentSince Aug 1, 2015 Accepting new patients

Locations

800 Zeagler Dr
Ste 510
Palatka, FL 32177
Phone (386) 325-2663

105 Southpark Blvd
Ste C300
St Augustine, FL 32086
Phone (904) 797-2663

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1255584173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOUTHPARK BLVD C300",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320864162",
            "telephone_number": "904-808-7246",
            "fax_number": "904-808-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 SOUTHRIDGE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016478",
            "telephone_number": "662-407-0801",
            "fax_number": "662-821-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAN",
        "first_name": "RITA",
        "middle_name": "TESTA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9405872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.