Nancy F Easterling, CFNP
Individual provider Active NPI Nurse Practitioner · Columbia, MS
NPI 1568486124 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1568486124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R629626 (MS)
- Practice address
- 914 Sumrall Rd
Columbia, MS 39429-2652 - Phone
- (601) 731-1470
- Fax
- (601) 731-1474
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Internal Medicine Clinic of Columbia, P.a.
Practice addresses (Care Compare)
914 Sumrall Rd
Columbia, MS 39429-2652
Phone (601) 731-1470
Hospital & facility affiliations
- Forrest General Home Care of Marion General
- St Luke Home Health Services
- Enhabit Home Health & Hospice
- Deaconess Homecare- Region I
- Marion General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100708000014 | MS | Practitioner - Nurse Practitioner | 3577694587 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R629626 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Clinic of Columbia, P.a. | Current |
Accepting new patients |
Locations
914 Sumrall Rd
Columbia, MS 39429
Phone (601) 731-1470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R629626 | MS | Yes |
Addresses
Primary practice location
914 Sumrall Rd
Columbia, MS 39429-2652
Mailing address
914 Sumrall Rd
Columbia, MS 39429-2652
Phone (601) 731-1470
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00117189 | Medicaid | MS |
Other providers in Columbia, MS
- Omega Dillon
- Dr Michael S. Zaleski
- Rene F Dungan
- Dynamic Columbia Operating Company LLC
- Kerry M Easterling Sr.
- Lydia Echols
- Agnes Emerle
- Encore Rehabilitation Inc
- Family Health Care Clinic, Inc.
- Family Health Care Clinic, Inc.
All providers in Columbia, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.