Individual provider Active NPI

Casey Pittman Nelson, FNP-C

  • Primary Care Nurse Practitioner
  • Glen Allan, MS
National Provider Identifier
1477135267
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
904417 Issued in MS
Practice address
984 Wingfield Rd
Glen Allan, MS 38744-3874
Phone
(662) 822-4419
NPI assigned
Apr 22, 2021
Last updated
Apr 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 904417 MS Primary

Addresses

Primary practice location

984 Wingfield Rd
Glen Allan, MS 38744-3874

Mailing address

984 Wingfield Rd
Glen Allan, MS 38744
Phone (662) 822-4419

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
I20220607000541 MS Practitioner - Nurse Practitioner 3678951415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Medical GroupGroup PAC ID 6608775531, 48 clinicians
Delta Heart and Vascular Center, P.a.Group PAC ID 1355390063, 4 clinicians

Practice addresses (Care Compare)

1400 E Union St
Greenville, MS 38703-3246
Phone (662) 378-3783

1513 E Union St
Greenville, MS 38703-3249
Phone (662) 846-6034

1693 Fairgrounds Rd
Greenville, MS 38703-7810
Phone (662) 378-3783

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Family Medical Services Inc CurrentSince Feb 26, 2022 Accepting new patients
Delta Heart & Vascular Center, P.a. CurrentSince Jan 21, 2026 Accepting new patients
Delta Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Delta Physician Practices Past Accepting new patients

Locations

802 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 627-7362

1513 E Union St
Greenville, MS 38703
Phone (601) 378-9191

1554 S Colorado St
Greenville, MS 38703
Phone (662) 334-8557

1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783

Organizations & group practices 4

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 4

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1477135267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 WINGFIELD RD",
            "city": "GLEN ALLAN",
            "state": "MS",
            "postal_code": "38744",
            "telephone_number": "662-822-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 WINGFIELD RD",
            "city": "GLEN ALLAN",
            "state": "MS",
            "postal_code": "387443874",
            "telephone_number": "662-822-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CASEY",
        "middle_name": "PITTMAN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "904417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allan, MS

Sources for this page

Verify at the official NPI Registry.