Ana Bacallao-Cummings, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Hamilton, MS
NPI 1295543981 · NPPES record last updated Dec 26, 2024
Key facts
- NPI
- 1295543981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 907131 (MS)
- Practice address
- 40114 Hamilton Rd
Hamilton, MS 39746-9686 - Phone
- (662) 364-1708
- NPI assigned
- Dec 26, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Curana Health of Mississippi LLC
CH MSSP Services Ms LLC
Practice addresses (Care Compare)
232 Market St
Flowood, MS 39232-3339
Phone (337) 991-9276
Hospital & facility affiliations
- Centerwell Home Health
- BMH-Golden Triangle
- Trinity Healthcare Center
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 |
|---|---|---|---|---|
| I20250110003069 | MS | Practitioner - Nurse Practitioner | 4688102148 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907131 | MS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Mississippi LLC | Family | Current |
Accepting new patients |
| CH MSSP Services Ms LLC | Current |
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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 907131 | MS | Yes |
Addresses
Primary practice location
40114 Hamilton Rd
Hamilton, MS 39746-9686
Mailing address
40114 Hamilton Rd
Hamilton, MS 39746-9686
Other providers in Hamilton, MS
- Access Family Health Services, Inc.
- Amory Hma Physician Management, LLC
- Boa Vida Hospital of Aberdeen, Ms, LLC
- Brianna Cooper
- Cross Creek Redi Care
- Lisa Annette Dement
- Linda Garrett
All providers in Hamilton, MS · Family 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 Dec 26, 2024. 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.