Jessica Lynn Anderson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903635 Issued in MS

Practice address

117 S 11TH Ave
Laurel, MS 39440-4312

Phone

(601) 425-3033

NPI assigned

Jan 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Horizon Medical Providers LLC

  • Family Medicine Physician
  • Ridgeland, MS
  • NPI 1982441473

  MS

  Medicare reassignment Care Compare group NPD
• Family Health Center, Inc

  • Clinic/Center
  • Laurel, MS
  • NPI 1760488357

  MS

  Medicare reassignment NPD
• Pioneer Health Care , LLC

  • General Practice Physician
  • Bassfield, MS
  • NPI 1336384742

  MS

  Medicare reassignment NPD
• Wayne General Hospital

  • Certified Registered Nurse Anesthetist
  • Waynesboro, MS
  • NPI 1093930638
  Care Compare group NPD
• Wayne General Hospital

  • Rural Health Clinic/Center
  • Waynesboro, MS
  • NPI 1558963496
  Care Compare group NPD (past)
• Wayne General Hospital

  • Community Based Hospice Care Agency
  • Waynesboro, MS
  • NPI 1215958780
  Care Compare group
• Wayne General Hospital

  • Rural Health Clinic/Center
  • Waynesboro, MS
  • NPI 1285882662
  Care Compare group
• Wayne General Hospital

  • Clinic/Center
  • Waynesboro, MS
  • NPI 1407233612
  Care Compare group
• Wayne General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Waynesboro, MS
  • NPI 1417978982
  Care Compare group
• Wayne General Hospital

  • Home Health Agency
  • Waynesboro, MS
  • NPI 1598787160
  Care Compare group
• Wayne General Hospital

  • General Acute Care Hospital
  • Waynesboro, MS
  • NPI 1679559983
  Care Compare group
• Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ellisville, MS
  • NPI 1083255087
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Mississippi, LLC

  • Home Health Agency
  • Collins, MS
  • NPI 1467400168
  Care Compare affiliation
• South Central Regional Medical Center

  • General Acute Care Hospital
  • Laurel, MS
  • NPI 1619973542

  Hospital

  Care Compare affiliation
• Wayne General Hospital

  • Home Health Agency
  • Waynesboro, MS
  • NPI 1598787160
  Care Compare affiliation
• Wayne General Hospital

  • General Acute Care Hospital
  • Waynesboro, MS
  • NPI 1679559983

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne General Hospital 47 clinicians

Horizon Medical Providers LLC 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Collins, MS, CCN 257087
• Wayne General Hospital HHA Home health agency, Waynesboro, MS, CCN 257088
• Wayne General Hospital Hospital, Waynesboro, MS, CCN 250077
• South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1508406802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S 11TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404312",
            "telephone_number": "601-425-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S 11TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404312",
            "telephone_number": "601-425-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Lomax Ave",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "MS",
            "postal_code": "393672556",
            "country_code": "US",
            "telephone_number": "601-671-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "MS",
            "license": "903635",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashad N. Ali, M.D.
• Lina Farouk Abdelhady Alkelish, MD
• Elizabeth Allen, NP
• Gloria J Alridge, FNP-C
• Amedisys Mississippi, LLC
• Kartik Andi
• Sarah Van Schaik Ard, MS, RD, LD
• Alexandra Elizabeth Arledge, PT, DPT
• Stephen Armour, CIDDT
• Cynthia Dianne Arnold-Spruill, NP

• All providers in Laurel, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.

Verify at the official NPI Registry.