Individual provider Active NPI

Treny K Emison, CPNP

  • Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1265632178
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R743578 Issued in MS
Practice address
499 Gloster Creek VLG Ste H3
Tupelo, MS 38801-4661
Phone
(662) 840-6026
Fax
(662) 840-6030
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R743578 MS Primary

Addresses

Primary practice location

499 Gloster Creek VLG Ste H3
Tupelo, MS 38801-4661

Mailing address

499 Gloster Creek VLG Ste H3
Tupelo, MS 38801-4661
Phone (662) 840-6026

Other identifiers 1

IdentifierTypeStateIssuer
04354767MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508001004 MS Practitioner - Nurse Practitioner 4284151705 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R743578MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pontotoc Health Services, Inc. CurrentSince May 5, 2025 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince May 5, 2025 Accepting new patients
North Mississippi Medical Center, Inc. CurrentSince May 5, 2025 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince May 5, 2025 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Pontotoc Health Services, Inc. Current Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Ivancic Pediatric Clinic PA PastSince Jan 22, 2023 Accepting new patients

Locations

202 Main St
Ecru, MS 38841
Phone (662) 489-4345

1573 Medical Park Cir
Tupelo, MS 38801
Phone (662) 419-2313

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: trenyemison@nmhs.medalliesdirect.net

Organizations & group practices 8

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1265632178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE H3",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014661",
            "telephone_number": "662-840-6026",
            "fax_number": "662-840-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE H3",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014661",
            "telephone_number": "662-840-6026",
            "fax_number": "662-840-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMISON",
        "first_name": "TRENY",
        "middle_name": "K",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R743578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04354767",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.