Individual provider Active NPI

Raymundo Cadag Trinanes, C. A. P. M. H. N. P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Pearl, MS
National Provider Identifier
1487727095
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R815428 Issued in MS
Practice address
3550 Highway 468 W
Pearl, MS 39208-5529
Phone
(601) 351-8000
Fax
(601) 351-8301
NPI assigned
Nov 15, 2006
Last updated
Dec 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R815428 MS Primary

Addresses

Primary practice location

3550 Highway 468 W
Pearl, MS 39208-5529

Mailing address

PO Box 157a
Whitfield, MS 39193-0157
Phone (601) 351-8000

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
I20070518000530 MS Practitioner - Nurse Practitioner 9335246727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precise Clinical Neuroscience SpecialistsGroup PAC ID 4880737626, 37 clinicians

Practice addresses (Care Compare)

230 Trace Colony Park Dr
Suite 4
Ridgeland, MS 39157-8851
Phone (601) 420-5810

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R815428MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Yazoo Mental Health Service CurrentSince Sep 18, 2019 Accepting new patients
Maxie Gordon MD & Associates, PLLC CurrentSince Sep 20, 2022 Accepting new patients
Region VI Community Mental Health Commission CurrentSince Aug 16, 2024 Accepting new patients
NP Care Anywhere LLC CurrentSince May 7, 2026 Accepting new patients
Precise Clinical Neuroscience Specialists CurrentSince Nov 1, 2022 Accepting new patients
Integrity Health Services, LLC Past Accepting new patients
Precise Psychopharmacology LLC Past Accepting new patients
Garden Park Past Accepting new patients

Locations

590 Springridge Rd
Clinton, MS 39056
Phone (601) 488-8101

3531 Lakeland Dr
Ste 1060
Flowood, MS 39232
Phone (601) 420-5410

1654 E Union St
Greenville, MS 38703
Phone (662) 335-5274

230 Trace Colony Park Dr
Ste 4
Ridgeland, MS 39157

3444 Wisconsin Ave
Vicksburg, MS 39180
Phone (601) 638-0031

Organizations & group practices 8

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1487727095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157A",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391930157",
            "telephone_number": "601-351-8000",
            "fax_number": "601-351-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 HIGHWAY 468 W",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392085529",
            "telephone_number": "601-351-8000",
            "fax_number": "601-351-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINANES",
        "first_name": "RAYMUNDO",
        "middle_name": "CADAG",
        "name_prefix": "Mr.",
        "credential": "C. A. P. M. H. N. P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R815428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

Verify at the official NPI Registry.