Individual provider Active NPI

Michelle Rice

  • Family Nurse Practitioner
  • Calhoun City, MS
National Provider Identifier
1508995499
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R857851 Issued in MS
Practice address
120 Burke Calhoun City Rd
Calhoun City, MS 38916
Phone
(662) 628-5116
Fax
(662) 628-5117
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R857851 MS Primary

Addresses

Primary practice location

120 Burke Calhoun City Rd
Calhoun City, MS 38916

Mailing address

120 Burke Calhoun City Rd
PO Box 1210
Calhoun City, MS 38916-9690
Phone (662) 628-5116

Other identifiers 2

IdentifierTypeStateIssuer
1508995499OtherNPI NUMBER
02072547MedicaidMS

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
I20070716000275 MS Practitioner - Nurse Practitioner 5698875938 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R857851MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Nov 1, 2021 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Dec 20, 2025 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Nov 1, 2021 Accepting new patients
Pioneer Health Services of Monroe County, Inc Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC Past Accepting new patients

Locations

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

Organizations & group practices 6

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1508995499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BURKE CALHOUN CITY RD",
            "address_2": "PO BOX 1210",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "389169690",
            "telephone_number": "662-628-5116",
            "fax_number": "662-628-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BURKE CALHOUN CITY RD",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "38916",
            "telephone_number": "662-628-5116",
            "fax_number": "662-628-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R857851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1508995499",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02072547",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun City, MS

Sources for this page

Verify at the official NPI Registry.