Kenneth Tinsley, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R858628 Issued in MS

Practice address

2500 N State St
Jackson, MS 39216-4500

Phone

(601) 984-5571

Fax

(601) 984-5583

NPI assigned

Sep 19, 2006

Last updated

Feb 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Franklin County Memorial HospitalGroup PAC ID 2466355243, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Franklin County Memorial Hospital

  • Critical Access Hospital
  • Meadville, MS
  • NPI 1669705612
  Medicare reassignment Care Compare group NPD
• App of Mississippi Ed, LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1730687740
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of St Dominic LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1235808122
  Medicare reassignment NPD
• RH Emergency Medicine of Jefferson Davis LLC

  • Emergency Medicine Physician
  • Prentiss, MS
  • NPI 1356103527
  Medicare reassignment NPD
• RH Emergency Medicine of Pearl River LLC

  • Emergency Medicine Physician
  • Poplarville, MS
  • NPI 1265206544
  Medicare reassignment NPD
• RH Emergency Medicine of Perry County LLC

  • Emergency Medicine Physician
  • Richton, MS
  • NPI 1740058650
  Medicare reassignment NPD
• RH Emergency Medicine of Walthall General LLC

  • Emergency Medicine Physician
  • Tylertown, MS
  • NPI 1336901511
  Medicare reassignment NPD
• RH Hospitalist Medicine of Jefferson Davis LLC

  • Hospitalist Physician
  • Prentiss, MS
  • NPI 1174385355
  Medicare reassignment NPD
• RH Hospitalist Medicine of Walthall General LLC

  • Hospitalist Physician
  • Tylertown, MS
  • NPI 1053173237
  Medicare reassignment NPD
• RH Mississippi Hospitalist Medicine, LLC

  • Hospitalist Physician
  • Jackson, MS
  • NPI 1891541207
  Medicare reassignment NPD
• St. Dominic Medical Associates LLC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1407920549
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065
  Care Compare affiliation

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1700983285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5571",
            "fax_number": "601-984-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5571",
            "fax_number": "601-984-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "KENNETH",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R858628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04103575",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily B Tillman, RD
• Janice Johnson Tillman, FNP-BC
• Tammie L. Tillman, FNP
• Uneika Tillman, PLPC
• Gregory Timberlake, MD
• Maria Clarissa Ong Tio, M.D.
• Neelesh A Tipnis, MD
• Sajani M Tipnis, MD
• Ancel C Tipton, M.D.
• Syed Ali Akhtar Tirmizi, M.D.

• Family Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.