Orlesha Carroll Bishop, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

902200 Issued in MS

Practice address

805 E River PL
Jackson, MS 39202-3486

Phone

(601) 500-7660

Fax

(769) 243-7946

NPI assigned

Feb 20, 2018

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

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, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Mallory Community HealthGroup PAC ID 9739074501, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center Attala Hospital, Kosciusko, MS, CCN 251336

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: orlesha.bishop.1@19209.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.

• Mallory Community Health

  • Federally Qualified Health Center (FQHC)
  • Lexington, MS
  • NPI 1740308873
  Medicare reassignment Care Compare group
• Mallory Community Health

  • Federally Qualified Health Center (FQHC)
  • Lexington, MS
  • NPI 1740624881
  NPD (past)
• Mallory Community Health

  • Federally Qualified Health Center (FQHC)
  • Durant, MS
  • NPI 1902923527
  NPD (past)

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

• BMC - Attala, LLC

  • Critical Access Hospital
  • Kosciusko, MS
  • NPI 1730566027
  Care Compare affiliation

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1629578273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GREEN GATE XING",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391579711",
            "telephone_number": "601-259-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E RIVER PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023486",
            "telephone_number": "601-500-7660",
            "fax_number": "769-243-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "ORLESHA",
        "middle_name": "CARROLL",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "902200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Nadine Bishop, NP-C
• Jonathan Alexander Bishop
• Kelley Bishop, MD
• Leona Demethia Bishop, M.ED., NCC, LPC
• Lorena Clare Bishop
• Phyllis R Bishop, M.D.
• Supriya Bisht, MD
• Cori Bitner
• Brenna Black
• Katie Ogletree Black, OT

• Primary Care Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Primary Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.