Individual provider Active NPI

Teresa Varner Hewlett, ANP

  • Adult Health Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1689915175
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R797012 Issued in MS
Practice address
2215 Jefferson Davis Dr
Oxford, MS 38655-5221
Phone
(662) 638-0462
Fax
(866) 658-0083
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R797012 MS Primary

Addresses

Primary practice location

2215 Jefferson Davis Dr
Oxford, MS 38655-5221

Mailing address

PO Box 2730
Oxford, MS 38655-4200
Phone (662) 638-0462

Other practice location 1

255 Medical Center Dr. Suite C
Batesville, MS 38606-0000
Phone (662) 638-0462

Other identifiers 1

IdentifierTypeStateIssuer
293630YXV2OtherMSMEDICARE PTAN

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
I20130723000722 MS Practitioner - Nurse Practitioner 2163663899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Ms Pain Institute Oxford PLLCGroup PAC ID 1052852365, 5 clinicians

Practice addresses (Care Compare)

2215 Jefferson Davis Dr
Oxford, MS 38655-5221
Phone (662) 638-0462

Merit-based Incentive Payment System (MIPS)

Final score
86.89 of 100Reported as group
Quality
78.91
Promoting interoperability
99
Improvement activities
40
Cost
74.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R797012MSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Pain and Wellness, LLC CurrentSince Dec 4, 2017 Accepting new patients
Ms Pain Institute Oxford PLLC CurrentSince Oct 1, 2024 Accepting new patients
Strategic Solutions-Panola Medical Center LLC Current Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Apr 8, 2024 Accepting new patients
Willow Pain and Wellness, LLC CurrentSince Dec 4, 2017 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Apr 8, 2024 Accepting new patients

Locations

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

255 Medical Center Dr
#C
Batesville, MS 38606
Phone (662) 563-2163

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

1300 Sunset Dr
Ste A
Grenada, MS 38901
Phone (662) 226-1646

2215 Jefferson Davis Dr
Oxford, MS 38655
Phone (662) 234-3303

Interoperability endpoints

  • Direct secure messaging: teresa.hewlett.1@19675.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1689915175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2730",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554200",
            "telephone_number": "662-638-0462",
            "fax_number": "866-658-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 JEFFERSON DAVIS DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555221",
            "telephone_number": "662-638-0462",
            "fax_number": "866-658-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Medical Center Dr. Suite C",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "MS",
            "postal_code": "386060000",
            "country_code": "US",
            "telephone_number": "662-638-0462",
            "fax_number": "866-658-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEWLETT",
        "first_name": "TERESA",
        "middle_name": "VARNER",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "R797012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "293630YXV2",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.