Cathy Wilburn, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R850403 Issued in MS

Practice address

301 Jackson Ave W
Oxford, MS 38655-2154

Phone

(662) 234-6464

Fax

(662) 234-6433

NPI assigned

Mar 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of Mississippi - University of Mississippi Medical CenterGroup PAC ID 1850293036, 956 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment Care Compare group
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD
• State of Mississippi-University of Mississippi Medical Center

  • Family Medicine Physician
  • Grenada, MS
  • NPI 1932538527
  NPD
• Access Family Health Services, Inc.

  • Community Health Clinic/Center
  • Houlka, MS
  • NPI 1457461527
  NPD (past)
• Acute Care & Family Clinic of Pontotoc

  • Nurse Practitioner
  • Pontotoc, MS
  • NPI 1356459069
  NPD (past)
• North Mississippi Family Medicine Group of Oxford PA

  • Family Medicine Physician
  • Oxford, MS
  • NPI 1063649853
  NPD (past)
• Thaxton Family Medical Clinic LLC

  • Primary Care Nurse Practitioner
  • Thaxton, MS
  • NPI 1124505912
  NPD (past)

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

• State of Mississippi-University of Mississippi Medical Center

  • Psychiatric Hospital
  • Grenada, MS
  • NPI 1083041917
  Care Compare affiliation
• State of Mississippi-University of Mississippi Medical Center

  • General Acute Care Hospital
  • Grenada, MS
  • NPI 1558798603
  Care Compare affiliation

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1275858599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "HOULKA",
            "state": "MS",
            "postal_code": "388500187",
            "telephone_number": "662-568-3316",
            "fax_number": "662-568-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 JACKSON AVE W",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552154",
            "telephone_number": "662-234-6464",
            "fax_number": "662-234-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "CATHY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R850403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09521395",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kodi McKaylyn Whitworth
• Brian Kyle Wicker, PT
• Miriam Hobbs Wicker, PT
• Reginald Keith Wicker III, PT
• Jessica Elizabeth Wiggs, PCMHT
• Jennifer Shaw Wilburn, PHARM.D.
• Komiya Wilks, LCSW
• Brooke Willans, DO
• S. Ashley Willard, PHARMD
• William Strickland, OD

• Family Nurse Practitioner in Oxford, MS
• Providers in Oxford, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.