Active NPI
Jakob Slusher, FNP-C
- Nurse Practitioner
- Quitman, MS
National Provider Identifier
1265047484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 903964
- Practice address
- 111 Main St
Quitman, MS 39355-2119 - Phone
- (601) 557-5105
- Fax
- (601) 557-5106
- NPI assigned
- Sep 14, 2020
- Last updated
- Aug 5, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 906964 | MS | |
| Nurse Practitioner | 363L00000X | 903964 | MS | Primary |
Addresses
Primary practice location
111 Main St
Quitman, MS 39355-2119
Mailing address
111 Main St
Quitman, MS 39355-2119
Phone (601) 557-5105
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Main St
Quitman, MS 39355-2119
Phone (601) 557-5105
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 906964 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Family Health Clinic PLLC | Current | Accepting new patients | |
| Nurse Practitioner House Calls | Family | Current | Accepting new patients |
| Medplus Urgent Clinic LLC | Family Medicine | Past | Accepting new patients |
Locations
109 E Donald St
Quitman, MS 39355
Phone (601) 513-8508
111 Main St
Quitman, MS 39355
Phone (601) 557-5105
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBJABD
- jakob.slusher.1@30937.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Deloach Family Clinic
- Primary Care Clinic/Center
- Bay Springs, MS
- NPI 1497173942
-
- Family Nurse Practitioner
- Quitman, MS
- NPI 1982115945
-
- Family Medicine Physician
- Tupelo, MS
- NPI 1881077501
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Anderson Regional Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1649226952
-
dba CenterWell Home Health
- Home Health Agency
- Meridian, MS
- NPI 1952537714
-
dba Ochsner Rush Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1770543399
-
dba Ochsner Watkins Hospital
- Critical Access Hospital
- Quitman, MS
- NPI 1912079625
-
dba AccentCare Home Health of Carthage
- Home Health Agency
- Carthage, MS
- NPI 1275674533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1265047484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MAIN ST",
"city": "QUITMAN",
"state": "MS",
"postal_code": "393552119",
"telephone_number": "601-557-5105",
"fax_number": "601-557-5106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MAIN ST",
"city": "QUITMAN",
"state": "MS",
"postal_code": "393552119",
"telephone_number": "601-557-5105",
"fax_number": "601-557-5106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLUSHER",
"first_name": "JAKOB",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-14",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "906964",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "903964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quitman, MS
- Rush Medical Foundation (Ochsner Health Center-Quitman)
- Rush Medical Foundation (Ochsner Watkins Hospital Swing Bed)
- Rush Medical Foundation (Ochsner Watkins Professional Services)
- Rush Medical Foundation (Ochsner Watkins Hospital)
- Briggette J. Singley, FNP
- Southern Caring Hands Home Health Services LLC
- Vincent Lee Spinosa-Parker, NP-C
- The Pharmacy of Quitman
- Blake Donald Thomas, D.D.S.
- True Essence Health and Wellness PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.