Individual provider Active NPI

Victoria Harris Acker

  • Acute Care Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1528845583
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
903580 Issued in MS
Practice address
140 Daughdrill Sta
Flowood, MS 39232-8406
Phone
(601) 573-7012
Fax
(601) 992-9796
NPI assigned
Sep 13, 2023
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 903580 MS Primary

Addresses

Primary practice location

140 Daughdrill Sta
Flowood, MS 39232-8406

Mailing address

201 John R Taylor Rd
Cedarbluff, MS 39741-6600
Phone (662) 295-8674

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
I20231017002635 MS Practitioner - Nurse Practitioner 5294180865 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903580MSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Oct 1, 2023 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

Organizations & group practices 2

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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1528845583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 JOHN R TAYLOR RD",
            "city": "CEDARBLUFF",
            "state": "MS",
            "postal_code": "397416600",
            "telephone_number": "662-295-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 DAUGHDRILL STA",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328406",
            "telephone_number": "601-573-7012",
            "fax_number": "601-992-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKER",
        "first_name": "VICTORIA",
        "middle_name": "HARRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "903580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.