Individual provider Active NPI

Jessica Reynolds, FNP-C

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1285352864
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905514 Issued in MS
Practice address
1221 24TH Ave
Meridian, MS 39301-3926
Phone
(601) 486-4210
Fax
(601) 486-4219
NPI assigned
Aug 18, 2022
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905514 MS Primary

Addresses

Primary practice location

1221 24TH Ave
Meridian, MS 39301-3926

Mailing address

221 County Road 351
Meridian, MS 39307-9492
Phone (601) 480-8737

Other practice location 1

221 County Road 351
Meridian, MS 39307-9492
Phone (601) 480-8737

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
I20230425002874 MS Practitioner - Nurse Practitioner 7618332768 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kemper Cah, Inc.Group PAC ID 5991985012, 28 clinicians
Rush Medical FoundationGroup PAC ID 2567368541, 31 clinicians

Practice addresses (Care Compare)

4331 Hwy 39 N
Meridian, MS 39301-1007
Phone (601) 484-6180

603 S Archusa Ave
Ochsner Health Center Quitman
Quitman, MS 39355-2331
Phone (601) 776-2123

605 S Archusa Ave
Quitman, MS 39355-2331
Phone (601) 776-6925

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
86.99
Improvement activities
40
Cost
66.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
905514MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laird Hospital, Inc. Family CurrentSince May 22, 2023 Accepting new patients
Kemper Cah, Inc CurrentSince Nov 7, 2024 Accepting new patients
Kemper Cah, Inc. Current Accepting new patients
Laird Hospital, Inc. CurrentSince May 22, 2023 Accepting new patients
Rush Medical Foundation Current Accepting new patients
Medical Foundation, Inc. CurrentSince Nov 7, 2024 Accepting new patients
Kemper, Cah, Inc. CurrentSince Nov 7, 2024 Accepting new patients
Medical Foundation, Inc. CurrentSince Nov 7, 2024 Accepting new patients
Rush Medical Foundation CurrentSince Nov 7, 2024 Accepting new patients
Laird Hospital, Inc. Current Accepting new patients
Rush Medical Foundation CurrentSince Nov 7, 2024 Accepting new patients

Locations

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

1221 24th Ave
Meridian, MS 39301
Phone (601) 482-1002

1500 Highway 19 N
Meridian, MS 39307
Phone (601) 483-5353

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

4331 Highway 39 N
Meridian, MS 39301
Phone (601) 482-5735

6905 Highway 145 S
Meridian, MS 39301
Phone (601) 282-3271

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

Interoperability endpoints

  • Direct secure messaging: jreynolds1157689@direct.ochsner.org

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1285352864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 COUNTY ROAD 351",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393079492",
            "telephone_number": "601-480-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 24TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013926",
            "telephone_number": "601-486-4210",
            "fax_number": "601-486-4219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 County Road 351",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393079492",
            "country_code": "US",
            "telephone_number": "601-480-8737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.