Individual provider Active NPI

Holly Kaylin Rosamond

  • Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1316677446
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
899099 Issued in MS
Practice address
1190 N State St Ste 502
Jackson, MS 39202-2414
Phone
(601) 944-1781
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 899099 MS
Nurse Practitioner 363L00000X 899099 MS Primary

Addresses

Primary practice location

1190 N State St Ste 502
Jackson, MS 39202-2414

Mailing address

1190 N State St Ste 502
Jackson, MS 39202-2414
Phone (601) 944-1781

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hrosamond@csurgical.com

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
I20220831000330 MS Practitioner - Nurse Practitioner 5991189565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Surgical Associates PLLCGroup PAC ID 1355359506, 27 clinicians

Practice addresses (Care Compare)

1190 N State St
Suite 502
Jackson, MS 39202-2414
Phone (601) 944-1781

Hospital & facility affiliations

  • Mississippi Homecare of Eupora Home health agency, Eupora, MS, CCN 257122
  • Accentcare Home Health of Carthage Home health agency, Carthage, MS, CCN 257129
  • Baptist Medical Center Attala Hospital, Kosciusko, MS, CCN 251336
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • Baptist Medical Center-Leake Hospital, Carthage, MS, CCN 251315

Merit-based Incentive Payment System (MIPS)

Final score
96.34 of 100Reported as group
Quality
80.8
Promoting interoperability
100
Improvement activities
40
Cost
76.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
899099MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Surgical Associates PLLC CurrentSince Jun 16, 2022 Accepting new patients

Locations

1190 N State St
Ste L1
Jackson, MS 39202
Phone (601) 292-4292

1190 N State St
Ste 502
Jackson, MS 39202
Phone (601) 944-1781

Interoperability endpoints

  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/CSA/api/FHIR/R4

Organizations & group practices 1

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.

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1316677446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 N STATE ST STE 502",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022414",
            "telephone_number": "601-944-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 N STATE ST STE 502",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022414",
            "telephone_number": "601-944-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSAMOND",
        "first_name": "HOLLY",
        "middle_name": "KAYLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "899099",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "899099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hrosamond@csurgical.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1190 N State St Ste 502",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392022414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.