Active NPI
Penny Lane Finch, CFNP
- Family Nurse Practitioner
- Aberdeen, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R713562
- Practice address
- 502 Jackson St
Suite 5
Aberdeen, MS 39730-3300 - Phone
- (662) 369-9525
- Fax
- (662) 304-4002
- NPI assigned
- Jan 23, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R713562 | MS | Primary |
Addresses
Primary practice location
502 Jackson St
Suite 5
Aberdeen, MS 39730-3300
Mailing address
PO Box 1100
Magee, MS 39111-1100
Phone (601) 849-1682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09083707 | Medicaid | MS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080826000353 | MS | Practitioner - Nurse Practitioner | 7012082191 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Boa Vida Hospital of Aberdeen Ms LLC
Practice addresses (Care Compare)
400 S Chestnut St
Aberdeen, MS 39730-3335
Phone (662) 369-2455
502 S Chestnut St
Aberdeen, MS 39730-3337
Phone (662) 319-8844
Hospital & facility affiliations
- Centerwell Home Health
- Monroe Regional Hospital
- BMH-Golden Triangle
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R713562 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms LLC | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Past | Accepting new patients | |
| Pioneer Health Services of Monroe County, Inc | Past | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Past | Accepting new patients |
Locations
10996 Four Seasons Pl
Ste 100A
Crown Point, IN 46307
Phone (219) 213-2380
400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455
40128 Hamilton Rd
Hamilton, MS 39746
Phone (662) 343-5129
Organizations & group practices 6
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.
-
- Community/Retail Pharmacy
- Aberdeen, MS
- NPI 1134858269
-
- Rural Health Clinic/Center
- Hamilton, MS
- NPI 1235656406
-
- Rural Health Clinic/Center
- Aberdeen, MS
- NPI 1245757301
-
- Rural Health Clinic/Center
- Aberdeen, MS
- NPI 1083658595
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, MS
- NPI 1609830173
Hospital
-
- Critical Access Hospital
- Aberdeen, MS
- NPI 1285164046
Hospital
-
- Home Health Agency
- Columbus, MS
- NPI 1770589822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1467639211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1100",
"city": "MAGEE",
"state": "MS",
"postal_code": "391111100",
"telephone_number": "601-849-1682",
"fax_number": "601-849-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 JACKSON ST",
"address_2": "SUITE 5",
"city": "ABERDEEN",
"state": "MS",
"postal_code": "397303300",
"telephone_number": "662-369-9525",
"fax_number": "662-304-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINCH",
"first_name": "PENNY",
"middle_name": "LANE",
"name_prefix": "Mrs.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-23",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R713562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09083707",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.