Individual provider Active NPI

Nathan Charles Lingle, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1649938945
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
904952 Issued in MS
Practice address
971 Lakeland Dr Ste 1052
Jackson, MS 39216-4609
Phone
(601) 981-9503
NPI assigned
Dec 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 904952 MS Primary

Addresses

Primary practice location

971 Lakeland Dr Ste 1052
Jackson, MS 39216-4609

Mailing address

109 Susan LN
Brandon, MS 39042-3178
Phone (601) 316-2202

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
I20220202001142 MS Practitioner - Nurse Practitioner 8325431083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Pulmonary Associates, PAGroup PAC ID 7517934292, 33 clinicians

Practice addresses (Care Compare)

971 Lakeland Dr
Suite 1052
Jackson, MS 39216-4609
Phone (601) 981-9503

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Pulmonary Associates, PA CurrentSince Jan 20, 2022 Accepting new patients

Locations

971 Lakeland Dr
Ste 1052
Jackson, MS 39216
Phone (601) 981-9503

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.323

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.

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": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1649938945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SUSAN LN",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423178",
            "telephone_number": "601-316-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 1052",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164609",
            "telephone_number": "601-981-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGLE",
        "first_name": "NATHAN",
        "middle_name": "CHARLES",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "904952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.