Jennifer Alisha Hill, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

902581 Issued in MS

Practice address

1415 College Dr
Meridian, MS 39307-5345

Phone

(601) 483-4821

Fax

(601) 483-4599

NPI assigned

Jul 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holistic Health With Kelly LLCGroup PAC ID 1850797846, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Holistic Health With Kelly LLC

  • Mental Health Counselor
  • Meridian, MS
  • NPI 1245806041

  MS

  Medicare reassignment Care Compare group NPD
• Region Ten Commission State of Ms

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meridian, MS
  • NPI 1073626511

  MS

  Medicare reassignment NPD
• East Mississippi State Hospital

  • Multi-Specialty Clinic/Center
  • Meridian, MS
  • NPI 1346522653
  NPD
• East Mississippi State Hospital

  • Nursing Facility/Intermediate Care Facility
  • Meridian, MS
  • NPI 1629394853
  NPD
• East Mississippi State Hospital

  • Multi-Specialty Clinic/Center
  • Meridian, MS
  • NPI 1972689313
  NPD

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1356995682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 10TH PL",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393051819",
            "telephone_number": "601-917-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 COLLEGE DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393075345",
            "telephone_number": "601-483-4821",
            "fax_number": "601-483-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "JENNIFER",
        "middle_name": "ALISHA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902581",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "902581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SECURE",
            "affiliation": "N",
            "address_1": "823 Highway 589",
            "city": "Purvis",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394754194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John B Hicks, M.D.
• Karen Elizabeth Hicks, M.D.
• Randall D Hicks, M.D.
• Dale Higginbotham, FNP
• David R Hill, M. D.
• Kathleen Ellen Hill, CNM
• Kelsi Hill, OT
• Maliyah Hill
• Michael Jeremy Hill, P.T.
• Rolandas Lemarc Hill, D.D.S.

• All providers in Meridian, MS
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; 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.