Individual provider Active NPI

Raedena Lancaster Hill, FNP-C

  • Family Nurse Practitioner
  • Charleston, MS
National Provider Identifier
1417425620
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902914 Issued in MS
Practice address
401 S Church St
Charleston, MS 38921-2257
Phone
(662) 647-5816
NPI assigned
Nov 6, 2018
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190205000728 MS Practitioner - Nurse Practitioner 4880932599 Reassigns benefits to 3 organizations

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
Redmed LLCGroup PAC ID 2961633656, 54 clinicians

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

LicenseStateTypeSpecialty
902914MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc Nurse Practitioner CurrentSince Jan 3, 2022 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Jul 13, 2025 Accepting new patients
Redmed, LLC CurrentSince Jan 22, 2019 Accepting new patients
Redmed, LLC CurrentSince Jan 22, 2019 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 3, 2022 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Jul 13, 2025 Accepting new patients
Redmed, LLC PastSince Aug 18, 2024 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.

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

Sources for this page

Verify at the official NPI Registry.