Individual provider Active NPI

Gena Anne Vail, CFNP

  • Family Nurse Practitioner
  • New Albany, MS
National Provider Identifier
1649204629
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R518921 Issued in MS
Practice address
474 W Bankhead St
New Albany, MS 38652-3319
Phone
(662) 534-7777
Fax
(662) 534-3050
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R518921 MS Primary

Addresses

Primary practice location

474 W Bankhead St
New Albany, MS 38652-3319

Mailing address

474 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 534-7777

Other identifiers 1

IdentifierTypeStateIssuer
00112954MedicaidMS

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
I20040903000368 MS Practitioner - Nurse Practitioner 4385556398 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Hill Health Services, LLCGroup PAC ID 8921358128, 6 clinicians
Acute Care and Family Clinic of MoorevilleGroup PAC ID 2961697578, 6 clinicians

Practice addresses (Care Compare)

2580 Jackson Ave W
Oxford, MS 38655-5497
Phone (662) 234-9112

710 Hwy 371
Mooreville, MS 38857-7356
Phone (662) 840-4577

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Mar 1, 2021 Accepting new patients
Arden of North Mississippi, LLC CurrentSince Jun 18, 2023 Accepting new patients
Acute Care & Family Clinic of Mooreville Family CurrentSince Oct 24, 2010 Accepting new patients
Oak Hill Health Services, LLC CurrentSince Aug 1, 2018 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Nov 1, 2018 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Mar 1, 2021 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Nov 1, 2018 Accepting new patients
Sherman Family Clinic Family Past Accepting new patients
Imaging Center at Gloster Creek Village PLLC PastSince Apr 1, 2012 Accepting new patients

Locations

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

710 Highway 371
Mooreville, MS 38857
Phone (662) 840-4577

9035 E Sandidge Rd
Ste 102
Olive Branch, MS 38654
Phone (662) 893-5662

2580 Jackson Ave W
Ste 44
Oxford, MS 38655
Phone (662) 234-9112

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

Organizations & group practices 9

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 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649204629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 W BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523319",
            "telephone_number": "662-534-7777",
            "fax_number": "662-534-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 W BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523319",
            "telephone_number": "662-534-7777",
            "fax_number": "662-534-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIL",
        "first_name": "GENA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R518921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00112954",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.