Active NPI
Raedena Lancaster Hill, FNP-C
- Family Nurse Practitioner
- Charleston, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 902914
- Practice address
- 401 S Church St
Charleston, MS 38921-2257 - Phone
- (662) 647-5816
- NPI assigned
- Nov 6, 2018
- Last updated
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 902914 | MS | |
| Family Nurse Practitioner | 363LF0000X | 902914 | MS | Primary |
Addresses
Primary practice location
401 S Church St
Charleston, MS 38921-2257
Mailing address
517 County Road 261
Water Valley, MS 38965-3570
Phone (662) 614-8612
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Brookes Xing
Pontotoc, MS 38863-1009
Phone (662) 489-4044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902914 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Physicians Urgent Care of Corinth, LLC | Current | Accepting new patients | |
| Redmed, LLC | Current | Accepting new patients | |
| Redmed, LLC | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Physicians Urgent Care of Corinth, LLC | Current | Accepting new patients | |
| Redmed, LLC | Past | Accepting new patients |
Locations
171 Lakewood Dr
Batesville, MS 38606
Phone (662) 234-6464
1002 N 2nd St
Booneville, MS 38829
Phone (662) 340-4375
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
2601 Getwell Rd
Ste 1
Corinth, MS 38834
Phone (662) 287-7138
1250 E Commerce St
Hernando, MS 38632
Phone (662) 298-2238
188 Starlyn Ave
New Albany, MS 38652
Phone (662) 486-2700
100 Baptist Memorial Cir
Ste 200
Oxford, MS 38655
Phone (662) 513-3246
1902B Jackson Ave W
Oxford, MS 38655
Phone (662) 234-6464
12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044
105A Quality Ln
Senatobia, MS 38668
Phone (662) 298-2144
105A Quality Ln
Ste A
Senatobia, MS 38668
Organizations & group practices 7
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.
-
dba Urgent Care of Corinth
- General Practice Physician
- Corinth, MS
- NPI 1316059405
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
MS, Nurse Practitioner
-
- Durable Medical Equipment & Medical Supplies
- Booneville, MS
- NPI 1942032297
-
- Durable Medical Equipment & Medical Supplies
- Oxford, MS
- NPI 1679305031
-
dba BMG East Memphis Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Durable Medical Equipment & Medical Supplies
- Olive Branch, MS
- NPI 1306678628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1417425620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 COUNTY ROAD 261",
"city": "WATER VALLEY",
"state": "MS",
"postal_code": "389653570",
"telephone_number": "662-614-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S CHURCH ST",
"city": "CHARLESTON",
"state": "MS",
"postal_code": "389212257",
"telephone_number": "662-647-5816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "RAEDENA",
"middle_name": "LANCASTER",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-06",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "902914",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "902914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, MS
- Lasuna M Curry, MSW
- Delta Med South, Inc.
- East Tallahatchie Schools
- Kelsey Marter Faulkner
- Freds Pharmacy of Quitman (Freds Pharmacy 7141)
- Cuitna M Hoffman
- Thelma Thompson Hubbard, M.S.
- Jerusalem Outreach Center, Inc (Jerusalem Life Adjustment Center)
- Louis Andrew Jones Jr., D.D.S.
- Michael M. Kempton, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.