Individual provider Active NPI

Angela Jones, NP

  • Family Nurse Practitioner
  • Winona, MS
National Provider Identifier
1568034502
Registry record updated Jul 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904833 Issued in MS
Practice address
204 S Front St
Winona, MS 38967-2557
Phone
(662) 508-5008
Fax
(662) 508-5053
NPI assigned
Jul 9, 2021
Last updated
Jul 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 862847 MS
Family Nurse Practitioner 363LF0000X 904833 MS Primary

Addresses

Primary practice location

204 S Front St
Winona, MS 38967-2557

Mailing address

204 S Front St
Winona, MS 38967-2557
Phone (662) 508-5008

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
I20211130003302 MS Practitioner - Nurse Practitioner 8921498247 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 S Front St
Winona, MS 38967-2557
Phone (662) 310-3470

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
862847MSMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Family Current Accepting new patients
Jones Family Health Clinic, LLC Family CurrentSince Jan 12, 2023 Accepting new patients
Webster Health Services, Inc. CurrentSince May 31, 2022 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Nov 23, 2021 Accepting new patients
Webster Health Services, Inc. CurrentSince May 31, 2022 Accepting new patients
Webster Health Services, Inc. Current Accepting new patients

Locations

595 E Veterans Ave Ste B
Calhoun County Medical Clinic
Calhoun City, MS 38916

595 E Veterans Ave Ste B
Calhoun County Medical Clinic
Calhoun City, MS 38916
Phone (662) 628-1337

49 Turner St
Maben, MS 39750
Phone (662) 263-5900

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

204 S Front St
Winona, MS 38967
Phone (662) 310-3470

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1568034502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S FRONT ST",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672557",
            "telephone_number": "662-508-5008",
            "fax_number": "662-508-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S FRONT ST",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672557",
            "telephone_number": "662-508-5008",
            "fax_number": "662-508-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANGELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MS",
            "license": "862847",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MS

Sources for this page

Verify at the official NPI Registry.