Jennifer Whetstone Lanehart, NP
Individual provider Active NPI Family Nurse Practitioner · Woodville, MS
NPI 1720185754 · NPPES record last updated May 6, 2026
Key facts
- NPI
- 1720185754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R858224 (MS)
- Practice address
- 451 Bank St
Woodville, MS 39669-6000 - Phone
- (601) 888-3421
- Fax
- (601) 888-3685
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Field Memorial Community Hospital
Practice addresses (Care Compare)
451 Bank St
Woodville, MS 39669-6000
Hospital & facility affiliations
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- Field Health System
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 |
|---|---|---|---|---|
| I20060509000732 | MS | Practitioner - Nurse Practitioner | 3779594460 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Health Network LLC | Current |
Accepting new patients | |
| Field Memorial Community Hospital | Current |
Accepting new patients | |
| Field Memorial Community Hospital | Current |
Accepting new patients | |
| Field Memorial Community Hospital | Current |
Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
178 Highway 24 E
Ste A
Centreville, MS 39631
Phone (601) 890-0520
178 Highway 24 E
Ste B
Centreville, MS 39631
Phone (601) 835-0077
434 N Captain Gloster Dr
Gloster, MS 39638
Phone (601) 225-4711
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
451 Bank St
Woodville, MS 39669
Phone (601) 888-3421
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R858224 | MS | Yes |
Addresses
Primary practice location
451 Bank St
Woodville, MS 39669-6000
Mailing address
PO Box 74
Woodville, MS 39669-0074
Phone (601) 888-6181
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07184351 | Medicaid | MS | |
| 1889181 | Medicaid | LA |
Other providers in Woodville, MS
- Field Memorial Community Hospital
- Mary Ann Goodrich
- Granger LLC
- Melinda Adlisha Hollins
- Gary Russell Johnson
- Robert L Lewis
- Virginia Lewis
- David B McGraw
- McKenzie Healthcare Solutions
- Mississippi State Department of Health
All providers in Woodville, 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 May 6, 2026. 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.