Jennifer J Capistran, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

904537 Issued in MS

Practice address

320 W Jackson St
Ridgeland, MS 39157-2222

Phone

(769) 567-1527

NPI assigned

Aug 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Beanstalk Pediatrics, PLLC

  • Pediatrics Physician
  • Ridgeland, MS
  • NPI 1740967520

  Single Specialty

  NPD
• Pearls Children'S Clinic PLLC

  • Pediatrics Physician
  • Pearl, MS
  • NPI 1750901179

  Single Specialty

  NPD

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1508530296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W JACKSON ST",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572222",
            "telephone_number": "769-567-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W JACKSON ST",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572222",
            "telephone_number": "769-567-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPISTRAN",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "904537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Cameron, LCSW
• Dena Campbell, LPC
• Leigh Rhodes Campbell, M.D.
• Mary Campbell, MS SLP
• Heather C Cannady, CCC-SLP
• Care for You Home Care LLC
• Care Plus Family Medicine - Highland Colony
• Care Well LLC
• Careconnectmd Mississippi PC
• Caremed,Inc.

• Pediatric Nurse Practitioner in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Pediatric Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.