Victoria Mansfield, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA00419 Issued in MS

Practice address

2670 McIngvale Rd Ste J
Hernando, MS 38632-8696

Phone

(901) 259-1600

Fax

(901) 259-1698

NPI assigned

Jan 25, 2019

Sex

Female

Sole proprietor

No

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.

• MSK Group PC

  • Orthopaedic Surgery Physician
  • Southaven, MS
  • NPI 1912303447

  MS

  Medicare reassignment Care Compare group NPD
• MSK Group, PC

  • Orthopaedic Surgery Physician
  • Memphis, TN
  • NPI 1376541409

  Surgical, TN

  Medicare reassignment Care Compare group NPD
• MSK Group, PC

  • Physical Therapist
  • Southaven, MS
  • NPI 1114793189
  Care Compare group NPD
• Carr PLLC

  • Emergency Medicine Physician
  • Brentwood, TN
  • NPI 1548677610

  TN

  Medicare reassignment
• T M Carr MD PC

  • Emergency Medicine Physician
  • Dyersburg, TN
  • NPI 1992706097

  TN

  Medicare reassignment
• Ut Methodist Physicians LLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1427317908

  TN

  Medicare reassignment
• MSK Group PC

  • Orthopaedic Surgery Physician
  • Hernando, MS
  • NPI 1386247328
  Care Compare group
• MSK Group, PC

  • Orthopaedic Surgery Physician
  • Southaven, MS
  • NPI 1740688811
  Care Compare group
• MSK Group, PC

  • Orthopaedic Surgery Physician
  • Memphis, TN
  • NPI 1255584009
  Care Compare group
• MSK Group, PC

  • Orthopaedic Surgery Physician
  • Arlington, TN
  • NPI 1295440782
  Care Compare group
• MSK Group, PC

  • Orthopaedic Surgery Physician
  • Bartlett, TN
  • NPI 1558512178
  Care Compare group
• MSK Group, PC

  • Orthopaedic Surgery Physician
  • Memphis, TN
  • NPI 1821435884
  Care Compare group
• MSK Group, PC

  • Orthopaedic Surgery Physician
  • Germantown, TN
  • NPI 1942397534
  Care Compare group

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

• Methodist Healthcare - Olive Branch Hospital

  • General Acute Care Hospital
  • Olive Branch, MS
  • NPI 1912341439

  Hospital

  Care Compare affiliation
• Suncrest Healthcare of West Tennessee, LLC

  • Home Health Agency
  • Hernando, MS
  • NPI 1467826958
  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MSK Group PC 138 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Homechoice Health Services - Hernando Home health agency, Hernando, MS, CCN 257034
• Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vmansfield48425@mlh.direct-ci.com

• Victoria Cullen Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2024.

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1255895017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 PRIMACY PKWY STE 140",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195754",
            "telephone_number": "901-725-8347",
            "fax_number": "901-259-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 MCINGVALE RD STE J",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328696",
            "telephone_number": "901-259-1600",
            "fax_number": "901-259-1698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043415",
            "country_code": "US",
            "telephone_number": "901-516-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Exeter Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383966",
            "country_code": "US",
            "telephone_number": "901-641-3000",
            "fax_number": "901-373-3804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6286 Briarcrest Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381204023",
            "country_code": "US",
            "telephone_number": "901-641-3000",
            "fax_number": "901-259-1698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "VICTORIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "PA00419",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "3785",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MS",
            "license": "PA00419",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "3785",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS LICENSE",
            "identifier": "PA00419",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN LICENSE",
            "identifier": "3785",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "CULLEN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia S Ligon, FNP
• Belinda Lunford, M.ED.
• Lindsay Dell Lynchard, PT, DPT
• Michael George Lyons, DPM
• Magnolia Counseling LLC
• John Walter Manuel, PHARMD
• Gia Matheny
• Lindsey S McCormick, PHARMD
• Kayla Ann McCoy, FNP
• Mandalyn McCullough, PHARMD

• All providers in Hernando, MS
• Surgical Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.