Individual provider Active NPI

Bridgette Rockette, FNP

  • Family Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1336980952
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R879970 Issued in MS
Practice address
783 Shady Oaks Cir
Oxford, MS 38655-5450
Phone
(662) 816-4222
NPI assigned
Jun 6, 2024
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 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 R879970 MS Primary

Addresses

Primary practice location

783 Shady Oaks Cir
Oxford, MS 38655-5450

Mailing address

783 Shady Oaks Cir
Oxford, MS 38655-5450
Phone (662) 816-4222

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
I20250711001596 MS Practitioner - Nurse Practitioner 2567697048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aaron E Henry Community HealthGroup PAC ID 1153230560, 13 clinicians

Practice addresses (Care Compare)

510 Hwy 322
Clarksdale, MS 38614-4717
Phone 66262442921103

600 Ohio Ave
Clarksdale, MS 38614-6020
Phone (662) 624-4292

800 Ohio Ave
Clarksdale, MS 38614-7200
Phone (662) 624-2504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R879970MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron E Henry Community Health CurrentSince May 27, 2025 Accepting new patients
Aaron E. Henry Community Health Services Center, Inc CurrentSince May 27, 2025 Accepting new patients
Aaron E Henry Community Health Past Accepting new patients

Locations

600 Ohio Ave
Clarksdale, MS 38614
Phone (662) 624-2872

510 Highway 322
Clarksdale, MS 38614
Phone (662) 624-2504

800 Ohio Ave
Clarksdale, MS 38614
Phone (662) 624-2504

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1336980952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 SHADY OAKS CIR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555450",
            "telephone_number": "662-816-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 SHADY OAKS CIR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555450",
            "telephone_number": "662-816-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKETTE",
        "first_name": "BRIDGETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R879970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.