Individual provider Active NPI

Erin Drew Vanstory

  • Primary Care Nurse Practitioner
  • Coldwater, MS
National Provider Identifier
1396582508
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
907087 Issued in MS
Practice address
431 Central Ave
Coldwater, MS 38618-3915
Phone
(662) 622-7011
NPI assigned
Jul 15, 2024
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 886603 MS
Primary Care Nurse Practitioner 363LP2300X 907087 MS Primary

Addresses

Primary practice location

431 Central Ave
Coldwater, MS 38618-3915

Mailing address

431 Central Ave
Coldwater, MS 38618-3915
Phone (662) 622-7011

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
I20250214001538 MS Practitioner - Nurse Practitioner 2163952557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pravinchandra P. Patel, MD P.C.Group PAC ID 8325117500, 8 clinicians

Practice addresses (Care Compare)

423 Central Ave
Coldwater, MS 38618-3915
Phone (662) 622-7011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
886603MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pravinchandra P. Patel, MD P.C. CurrentSince Feb 10, 2025 Accepting new patients
Multimodality Pain & Wellness Center PastSince Nov 3, 2019 Accepting new patients

Locations

423 Central Ave
Coldwater, MS 38618
Phone (662) 294-2241

431 Central Ave
Coldwater, MS 38618
Phone (662) 622-7011

6965 Oak Forest Dr
Olive Branch, MS 38654
Phone (662) 622-7011

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIHEBD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1396582508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 CENTRAL AVE",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386183915",
            "telephone_number": "662-622-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 CENTRAL AVE",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386183915",
            "telephone_number": "662-622-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSTORY",
        "first_name": "ERIN",
        "middle_name": "DREW",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "886603",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "907087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MS

Sources for this page

Verify at the official NPI Registry.