Jenna Mordecai, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

901764 Issued in MS

Practice address

129 N Brookmoore Dr
Columbus, MS 39705-2024

Phone

(662) 329-3838

Fax

(662) 329-2515

NPI assigned

Oct 12, 2016

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Associates, PCGroup PAC ID 5799752762, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100
• Noxubee General Critical Access Hosp Hospital, Macon, MS, CCN 251307

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmordecai63403@direct.acumenmd.com

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.

• Nephrology Associates, PC

  • Nephrology Physician
  • Columbus, MS
  • NPI 1811944432
  Medicare reassignment Care Compare group NPD
• North Mississippi Medical Center Inc

  dba Behavioral Health Center

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  Medicare reassignment NPD
• North Mississippi Medical Clinics Inc

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1053469486

  Family

  Medicare reassignment NPD
• North Mississippi Medcial Center, Inc.

  dba Radiology Consultants

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1902762487
  NPD
• North Mississippi Medical Center Inc

  dba North Mississippi Plastic Surgery

  • Plastic Surgery Physician
  • Tupelo, MS
  • NPI 1013650431
  NPD
• North Mississippi Medical Clinics Inc

  dba The Women's Group West Point

  • Obstetrics & Gynecology Physician
  • West Point, MS
  • NPI 1588769970
  NPD

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

• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173
  Care Compare affiliation
• Noxubee General Critical Access Hospital

  • Critical Access Hospital
  • Macon, MS
  • NPI 1902844194
  Care Compare affiliation

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1336699578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N BROOKMOORE DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052024",
            "telephone_number": "662-329-3838",
            "fax_number": "662-329-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N BROOKMOORE DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052024",
            "telephone_number": "662-329-3838",
            "fax_number": "662-329-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORDECAI",
        "first_name": "JENNA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashundra Patrice Moore, DC
• Michelle Denise Moore, NP-C
• Valerie Moore, CMHT
• Megan R Moran, M.D.
• Amanda Mordecai, NP
• David B Morgan, M.D.
• Briana Morman
• Andrea Nicole Morris, MD
• Shacory Morris, PHARM D
• Veronica G Morris, LPN

• Family Nurse Practitioner in Columbus, MS
• Providers in Columbus, 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 16, 2024; 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.