Individual provider Active NPI

Contesta Lasshura Barnes Corey, FNP-C

  • Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1629853544
Registry record updated Sep 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
906227 Issued in MS
Practice address
618 Pegram Dr
Tupelo, MS 38801-6322
Phone
(662) 844-6513
Fax
(662) 260-3799
NPI assigned
Aug 29, 2023
Last updated
Sep 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 906227 MS Primary

Addresses

Primary practice location

618 Pegram Dr
Tupelo, MS 38801-6322

Mailing address

618 Pegram Dr
Tupelo, MS 38801-6322
Phone (662) 844-6513

Other practice location 1

323 N Gloster St
Tupelo, MS 38804-3623
Phone (662) 840-7033

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
I20231109000959 MS Practitioner - Nurse Practitioner 7416304696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear, Nose and Throat Physicians of North Miss., P.aGroup PAC ID 8729053343, 22 clinicians

Practice addresses (Care Compare)

618 Pegram Dr
Tupelo, MS 38801-6322
Phone (601) 844-6513

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
74.06
Promoting interoperability
85
Improvement activities
40
Cost
81.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
906227MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Physicians of North Miss., P.a. CurrentSince Jul 5, 2023 Accepting new patients

Locations

323 N Gloster St
Tupelo, MS 38804
Phone (662) 840-7033

618 Pegram Dr
Tupelo, MS 38801
Phone (601) 841-3000

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, 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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694217600000",
    "number": "1629853544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 PEGRAM DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016322",
            "telephone_number": "662-844-6513",
            "fax_number": "662-260-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PEGRAM DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016322",
            "telephone_number": "662-844-6513",
            "fax_number": "662-260-3799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 N Gloster St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388043623",
            "country_code": "US",
            "telephone_number": "662-840-7033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES COREY",
        "first_name": "CONTESTA",
        "middle_name": "LASSHURA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-09-09",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "906227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.