Paige Sparks
Individual provider Active NPI Family Nurse Practitioner · Ecru, MS
NPI 1669170262 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1669170262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 905800 (MS)
- Practice address
- 5482 Ms-15
Ecru, MS 38841 - Phone
- (662) 488-8799
- NPI assigned
- Feb 22, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Redmed LLC
Practice addresses (Care Compare)
12 Brookes Xing
Pontotoc, MS 38863-1009
Phone (662) 489-4044
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240207000502 | MS | Practitioner - Nurse Practitioner | 9436592441 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Urgent Care of Corinth, LLC | Current |
Accepting new patients | |
| Redmed, LLC | Current |
Accepting new patients | |
| Physicians Urgent Care of Corinth, LLC | Current |
Accepting new patients | |
| Redmed, LLC | Current |
Accepting new patients | |
| Friendship Medical Clinic, LLC | Current |
Accepting new patients |
Locations
171 Lakewood Dr
Batesville, MS 38606
Phone (662) 234-6464
1002 N 2nd St
Booneville, MS 38829
Phone (662) 340-4375
2601 Getwell Rd
Ste 1
Corinth, MS 38834
Phone (662) 287-7138
5482 Highway 15 N
Ecru, MS 38841
Phone (662) 256-9730
1250 E Commerce St
Hernando, MS 38632
Phone (662) 298-2238
188 Starlyn Ave
New Albany, MS 38652
Phone (662) 486-2700
6674 Goodman Rd
Olive Branch, MS 38654
Phone (662) 985-7806
1902B Jackson Ave W
Oxford, MS 38655
Phone (662) 234-6464
12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044
105A Quality Ln
Ste A
Senatobia, MS 38668
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGAACA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 905800 | MS | Yes |
Addresses
Primary practice location
5482 Ms-15
Ecru, MS 38841
Mailing address
5482 Ms-15
Ecru, MS 38841
Other names
- Paige Bassi
Other providers in Ecru, MS
- Elizabeth Norton
- Peden Pediatric Therapy, LLC
- Pontotoc Health Services, Inc.
- Premise Health of Mississippi Medical PC
- Proactive MD Ms LLC
- Terry Wade Stubblefield
- Crystal Lane Tate
- Catherine Leanne Vance
All providers in Ecru, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.