Jakob Slusher, FNP-C
Individual provider Active NPI Nurse Practitioner · Quitman, MS
NPI 1265047484 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1265047484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 903964 (MS)
- Practice address
- 111 Main St
Quitman, MS 39355-2119 - Phone
- (601) 557-5105
- Fax
- (601) 557-5106
- NPI assigned
- Sep 14, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Raleigh Family Health Clinic PLLC
Practice addresses (Care Compare)
111 Main St
Quitman, MS 39355-2119
Phone (601) 557-5105
Hospital & facility affiliations
- Centerwell Home Health
- Accentcare Home Health of Carthage
- Ochsner Watkins Hospital
- Anderson Regional Medical Center
- Ochsner Rush Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200922001592 | MS | Practitioner - Nurse Practitioner | 1153749205 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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
111 Main St
Quitman, MS 39355
Phone (601) 557-5105
109 E Donald St
Quitman, MS 39355
Phone (601) 513-8508
Interoperability endpoints
- jakob.slusher.1@30937.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/BBJABD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 906964 | MS | |
| Nurse Practitioner | 363L00000X | 903964 | MS | Yes |
Addresses
Primary practice location
111 Main St
Quitman, MS 39355-2119
Mailing address
111 Main St
Quitman, MS 39355-2119
Phone (601) 557-5105
Other providers in Quitman, MS
- Rush Medical Foundation
- Rush Medical Foundation
- Rush Medical Foundation
- Rush Medical Foundation
- Briggette J. Singley
- Southern Caring Hands Home Health Services LLC
- Vincent Lee Spinosa-Parker
- The Pharmacy of Quitman
- Blake Donald Thomas
- True Essence Health and Wellness PLLC
All providers in Quitman, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.