Active NPI
Elizabeth Orr, FNP
- Family Nurse Practitioner
- Ridgeland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 914765
- Practice address
- 113 W Jackson St # 1a
Ridgeland, MS 39157-2401 - Phone
- (769) 289-3335
- Fax
- (769) 289-3336
- NPI assigned
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 914765 | MS | Primary |
Addresses
Primary practice location
113 W Jackson St # 1a
Ridgeland, MS 39157-2401
Mailing address
113 W Jackson St # 1a
Ridgeland, MS 39157-2401
Phone (769) 289-3335
Other practice location 1
587 Highway 51 Ste T
Ridgeland, MS 39157-2567
Phone (601) 790-7711
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 |
|---|---|---|---|---|
| I20240809000404 | MS | Practitioner - Nurse Practitioner | 1254878127 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Mississippi School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ridgeland Medical Clinic
Practice addresses (Care Compare)
113 W Jackson St
1A
Ridgeland, MS 39157-2401
Phone (769) 289-3335
587 Hwy 51
Suite T
Ridgeland, MS 39157-2567
Phone (601) 790-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 914765 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R3 Wellness and Infusion, LLC | Family | Current | Accepting new patients |
| Ridgeland Medical Clinic | Current | Accepting new patients | |
| Boatox LLC | Family | Current | Accepting new patients |
Locations
587 Highway 51
Ste T
Ridgeland, MS 39157
Phone (601) 790-7711
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1487499273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 W JACKSON ST # 1A",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572401",
"telephone_number": "769-289-3335",
"fax_number": "769-289-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W JACKSON ST # 1A",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572401",
"telephone_number": "769-289-3335",
"fax_number": "769-289-3336"
}
],
"practiceLocations": [
{
"address_1": "587 Highway 51 Ste T",
"address_purpose": "LOCATION",
"city": "Ridgeland",
"state": "MS",
"postal_code": "391572567",
"country_code": "US",
"telephone_number": "601-790-7711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORR",
"first_name": "ELIZABETH",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-25",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "914765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.