Cynthia B. Massey, NP
Individual provider Active NPI Family Nurse Practitioner · Decatur, MS
NPI 1346546777 · NPPES record last updated Nov 7, 2013
Key facts
- NPI
- 1346546777
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R850875 (MS)
- Practice address
- 14884 Hwy 15
Decatur, MS 39327 - Phone
- (601) 635-2258
- Fax
- (601) 635-2259
- NPI assigned
- Feb 2, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mississippi Band of Choctaw Indians
Practice addresses (Care Compare)
210 Hospital Cir
Choctaw, MS 39350-6781
Phone (601) 389-4500
210 Hospital Circle
Choctaw, MS 39350-6781
376 Campus Rd
Conehatta, MS 39057-2800
Phone (601) 389-4500
Hospital & facility affiliations
- Choctaw Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20230214002427 | TX | Practitioner - Nurse Practitioner | 3678756483 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R850875 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Band of Choctaw Indians | Current | Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current |
Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current |
Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current | Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current | Accepting new patients |
Locations
1930 N Pearl St
Carthage, MS 39051
Phone (601) 287-6639
210 Hospital Cir
Choctaw, MS 39350
Phone (601) 389-4500
376 Campus Rd
Conehatta, MS 39057
Phone (601) 389-4500
124 Big Creek Cir
Philadelphia, MS 39350
Phone (601) 389-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R850875 | MS | Yes |
Addresses
Primary practice location
14884 Hwy 15
Decatur, MS 39327
Mailing address
PO Box 2106
Meridian, MS 39302-2106
Phone (601) 703-4282
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00604803 | Medicaid | MS |
Other providers in Decatur, MS
- Kalena Smith
- Brandi B Keith
- Laboratory Corporation of America Holdings
- Laird Hospital, Inc.
- Julie Clanton Mangum
- Natalie Boggan May
- Kristin Lynne McDonald
- Deborah Allean Miller
- Mississippi State Department of Health
- Krystle Monk
All providers in Decatur, 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 Nov 7, 2013. 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.