Individual provider Active NPI

Melissa E Wood, CFNP

  • Family Nurse Practitioner
  • Clinton, MS
National Provider Identifier
1578795134
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R901008 Issued in MS
Practice address
106 Clinton Pkwy
Clinton, MS 39056-4730
Phone
(601) 924-9005
Fax
(601) 925-9463
NPI assigned
Aug 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A003283 AR
Family Nurse Practitioner 363LF0000X R901008 MS Primary

Addresses

Primary practice location

106 Clinton Pkwy
Clinton, MS 39056-4730

Mailing address

555 Highway 51
Ridgeland, MS 39157-2564
Phone (601) 856-2383

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
I20150904000299 MS Practitioner - Nurse Practitioner 9537215694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-6441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A003283ARMDFamily Nurse Practitioner
R901008MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Feb 1, 2018 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Sep 18, 2024 Accepting new patients
Northeast Chiropractic Clinic, Inc. CurrentSince Feb 13, 2017 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 18, 2024 Accepting new patients
Medical Foundation of Central Ms CurrentSince Feb 1, 2018 Accepting new patients
University Physicians, PLLC Past Accepting new patients

Locations

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

106 Clinton Pkwy
Clinton, MS 39056
Phone (601) 924-9005

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

555 Highway 51
Ridgeland, MS 39157
Phone (601) 856-2383

331 Sunnybrook Rd
Ridgeland, MS 39157
Phone (601) 594-4142

Organizations & group practices 7

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.

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": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1578795134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HIGHWAY 51",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572564",
            "telephone_number": "601-856-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CLINTON PKWY",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564730",
            "telephone_number": "601-924-9005",
            "fax_number": "601-925-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MELISSA",
        "middle_name": "E",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003283",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R901008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

Verify at the official NPI Registry.