Individual provider Active NPI

Debra W Hill, C.F.N.P.

  • Family Nurse Practitioner
  • Plantersville, MS
National Provider Identifier
1457437477
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R713511 Issued in MS
Practice address
2464 Main St.
Plantersville, MS 38862-0000
Phone
(662) 842-4877
Fax
(662) 842-4330
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R713511 MS Primary

Addresses

Primary practice location

2464 Main St.
Plantersville, MS 38862-0000

Mailing address

272 Road 1145
Tupelo, MS 38804-8580
Phone (662) 680-3110

Other identifiers 1

IdentifierTypeStateIssuer
02853062MedicaidMS

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
I20080731000231 MS Practitioner - Nurse Practitioner 9638271570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2464 Main St
Plantersville, MS 38862-5002
Phone (662) 842-4877

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
  • North Mississippi Medical Ctr HHA Home health agency, Tupelo, MS, CCN 257002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R713511MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Plantersville Clinic, Inc Family CurrentSince Apr 1, 1999 Accepting new patients
East Main Family Medical Clinic LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: debra.hill.1@29103.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1457437477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 ROAD 1145",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388048580",
            "telephone_number": "662-680-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 MAIN ST.",
            "city": "PLANTERSVILLE",
            "state": "MS",
            "postal_code": "388620000",
            "telephone_number": "662-842-4877",
            "fax_number": "662-842-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "DEBRA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "C.F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R713511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02853062",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantersville, MS

Sources for this page

Verify at the official NPI Registry.