Jenna Marie Ainsworth, PA-C

Individual provider Active NPI Medical Physician Assistant · Flowood, MS

NPI 1346790417 · NPPES record last updated Aug 7, 2026

Key facts

NPI
1346790417
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
PA00303 (MS)
Practice address
1006 Treetops Blvd
Suite 101
Flowood, MS 39232-7645
Phone
(601) 939-0005
Fax
(601) 936-4949
NPI assigned
Oct 12, 2016
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Dermatology Associates, PLLC (5 clinicians)

Practice addresses (Care Compare)

1006 Treetops Blvd
Flowood, MS 39232-7645
Phone (601) 939-0005

Merit-based Incentive Payment System (MIPS)

Final score
93.58 of 100 (individual)
Quality
88.33
Promoting interoperability
100
Improvement activities
40

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 IDStateProvider typePAC IDDetails
I20170411000258 MS Practitioner - Physician Assistant 9335425156 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00303MSMDMedical Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00303 MS Yes

Addresses

Primary practice location

1006 Treetops Blvd
Suite 101
Flowood, MS 39232-7645

Mailing address

1006 Treetops Blvd
Suite 101
Flowood, MS 39232-7645
Phone (601) 939-0005

Other names

  • Jenna Haberman Former name

Other providers in Flowood, MS

All providers in Flowood, MS · Medical Physician Assistant in Mississippi

Sources for this page

Verify at the official NPI Registry.