Jennifer Lee Goss, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R875035 Issued in MS

Practice address

1117 Sunset Dr
Suite 104
Grenada, MS 38901-4080

Phone

(662) 226-0110

Fax

(662) 226-3700

NPI assigned

Jun 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Clinic of GrenadaGroup PAC ID 9234107517, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitalcaring Group Home health agency, Cleveland, MS, CCN 257016
• Accentcare Home Health of Greenwood Home health agency, Greenwood, MS, CCN 257131
• Mississippi Homecare of Eupora Home health agency, Eupora, MS, CCN 257122
• University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168
• Greenwood Leflore Hospital Hospital, Greenwood, MS, CCN 250099

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.goss.1@16954.direct.athenahealth.com

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.

• Family Health Clinic of Grenada

  • Family Nurse Practitioner
  • Grenada, MS
  • NPI 1144400607
  Medicare reassignment Care Compare group
• Goss Mental Health and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grenada, MS
  • NPI 1598696924
  NPD

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

• Able Home Health, Inc.

  • Home Health Agency
  • Eupora, MS
  • NPI 1659483196
  Care Compare affiliation
• Sta-Home Health Agency of Greenwood, Inc.

  • Home Health Agency
  • Greenwood, MS
  • NPI 1235270588
  Care Compare affiliation
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Greenwood, MS
  • NPI 1699714717
  Care Compare affiliation
• State of Mississippi-University of Mississippi Medical Center

  • Psychiatric Hospital
  • Grenada, MS
  • NPI 1083041917
  Care Compare affiliation
• State of Mississippi-University of Mississippi Medical Center

  • General Acute Care Hospital
  • Grenada, MS
  • NPI 1558798603
  Care Compare affiliation
• Ways, LLC

  • Home Health Agency
  • Cleveland, MS
  • NPI 1215244017
  Care Compare affiliation

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1548608128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 SUNSET DR",
            "address_2": "SUITE 104",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014080",
            "telephone_number": "662-226-0110",
            "fax_number": "662-226-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 SUNSET DR",
            "address_2": "SUITE 104",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014080",
            "telephone_number": "662-226-0110",
            "fax_number": "662-226-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R875035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07501378",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "C03154",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George M Miller Jr MD PC
• Gibson Pharmacy of Grenada, Inc
• Lillie Gibson, RN
• Justice Aaron Gondwe, M.D.
• Goss Mental Health and Wellness PLLC
• Grace Health & Rehab of Grenada, LLC
• Grancare, LLC
• Grandcare
• Grenada Adult Healthcare Clinic PC.
• Grenada Anesthesiology Inc.

• Family Nurse Practitioner in Grenada, MS
• Providers in Grenada, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.