Individual provider Active NPI

Ana Bacallao-Cummings, FNP-C

  • Family Nurse Practitioner
  • Hamilton, MS
National Provider Identifier
1295543981
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907131 Issued in MS
Practice address
40114 Hamilton Rd
Hamilton, MS 39746-9686
Phone
(662) 364-1708
NPI assigned
Dec 26, 2024
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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 907131 MS Primary

Addresses

Primary practice location

40114 Hamilton Rd
Hamilton, MS 39746-9686

Mailing address

40114 Hamilton Rd
Hamilton, MS 39746-9686

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
I20250110003069 MS Practitioner - Nurse Practitioner 4688102148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Mississippi LLCGroup PAC ID 3678887700, 18 clinicians
CH MSSP Services Ms LLCGroup PAC ID 7911441126, 16 clinicians

Practice addresses (Care Compare)

232 Market St
Flowood, MS 39232-3339
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907131MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Mississippi LLC Family CurrentSince Jan 7, 2025 Accepting new patients
CH MSSP Services Ms LLC CurrentSince Jan 7, 2025 Accepting new patients

Locations

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 3

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": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1295543981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40114 HAMILTON RD",
            "city": "HAMILTON",
            "state": "MS",
            "postal_code": "397469686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40114 HAMILTON RD",
            "city": "HAMILTON",
            "state": "MS",
            "postal_code": "397469686",
            "telephone_number": "662-364-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACALLAO-CUMMINGS",
        "first_name": "ANA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MS

Sources for this page

Verify at the official NPI Registry.