Bret Ballard, NP
Individual provider Active NPI Family Nurse Practitioner · Amory, MS
NPI 1376564799 · NPPES record last updated May 17, 2019
Key facts
- NPI
- 1376564799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R815978 (MS)
- Practice address
- 906 Highway 278 E
Amory, MS 38821-5511 - Phone
- (662) 256-5612
- Fax
- (662) 256-5264
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amory Urgent Care, LLC
Practice addresses (Care Compare)
906 Hwy 278 E
Amory, MS 38821-5511
Phone (662) 256-5612
Hospital & facility affiliations
- North Mississippi Medical Center-Gilmore Amory
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.47 of 100
- Quality
- 70.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.69
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061108000634 | MS | Practitioner - Nurse Practitioner | 2860465747 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R815978 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amory Urgent Care, LLC | Current |
Accepting new patients | |
| North Ms Emergency Physicians | Past | Accepting new patients | |
| Caretime Medical Clinic, LLC | Past |
Accepting new patients |
Locations
906 Highway 278 E
Amory, MS 38821
Phone (662) 256-5612
Interoperability endpoints
- bret.ballard.1@7547.direct.athenahealth.com
- https://api.platform.athenahealth.com/13353/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/7547/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R815978 | MS | Yes |
Addresses
Primary practice location
906 Highway 278 E
Amory, MS 38821-5511
Mailing address
906 Highway 278 E
Amory, MS 38821-5511
Phone (662) 256-5612
Other providers in Amory, MS
- William H Austin
- Amy Bailey
- Joseph Bailey
- Charlotte Baker
- Farris G Baker
- John Brandon Barnett
- Morgan Leigh Beard
- Rylee Blakney
- Bliss Health and Wellness LLC
- Boa Vida Hospital of Aberdeen, Ms LLC
All providers in Amory, 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 May 17, 2019. 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.