Individual provider Active NPI

Andrea Pyron, FNP-C

  • Nurse Practitioner
  • Aberdeen, MS
National Provider Identifier
1629625629
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
903685 Issued in MS
Practice address
100 Highway 8 W Ste 1
Aberdeen, MS 39730-2132
Phone
(662) 304-5014
Fax
(662) 362-3699
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care at the Pointe PLLC 3 clinicians

Practice addresses (Care Compare)

100 Hwy 8 W
Suite 101
Aberdeen, MS 39730
Phone (662) 304-5014

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20220506000756 MS Practitioner - Nurse Practitioner 1658758982 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
879433MSMDRegistered Nurse
903685MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care at the Pointe, PLLC CurrentSince Nov 16, 2022 Accepting new patients

Locations

100 Highway 8 W
Ste 101
Aberdeen, MS 39730
Phone (662) 304-5014

100 Highway 8 W
Ste 1
Aberdeen, MS 39730
Phone (662) 304-5014

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 879433 MS
Family Nurse Practitioner 363LF0000X 903685 MS
Nurse Practitioner 363L00000X 903685 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

100 Highway 8 W Ste 1
Aberdeen, MS 39730-2132

Mailing address

100 Highway 8 W Ste 1
Aberdeen, MS 39730-2132
Phone (662) 304-5014

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00018203MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2023.

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1629625629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHWAY 8 W STE 1",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397302132",
            "telephone_number": "662-304-5014",
            "fax_number": "662-362-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHWAY 8 W STE 1",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397302132",
            "telephone_number": "662-304-5014",
            "fax_number": "662-362-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYRON",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "879433",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903685",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018203",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MS

Sources for this page

Verify at the official NPI Registry.