Individual provider Active NPI

Michelle Tharp, RN, FNP

  • Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1720528011
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F1216629 Issued in MS
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 984-6270
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F1216629 MS Primary

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-6270

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
I20170706002661 MS Practitioner - Nurse Practitioner 7113296187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustcare Health, LLCGroup PAC ID 0547427858, 40 clinicians

Practice addresses (Care Compare)

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-6441

4880 I 55 Frontage Rd N
Jackson, MS 39211-5469
Phone (601) 467-9199

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1216629MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trustcare Health, LLC CurrentSince Oct 25, 2021 Accepting new patients
Gluckstadt TC Kids, LLC CurrentSince Jan 11, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 7, 2017 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 7, 2017 Accepting new patients
Advantage Health Saint Mary's Medical Group Past Accepting new patients
St. Dominic Jackson Memorial PastSince Oct 25, 2021 Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients

Locations

1721 Medical Park Dr
Ste 340B
Biloxi, MS 39532

1651 W Government Cv
Brandon, MS 39042
Phone (601) 487-4340

1645 W Government St
Ste F
Brandon, MS 39042
Phone (601) 829-6600

601 Highway 80 E
Clinton, MS 39056
Phone (601) 708-1480

1710 Old Fannin Rd
Flowood, MS 39232
Phone (601) 487-9191

101 Lexington Dr
Ste A
Gluckstadt, MS 39110
Phone (601) 427-5657

6176 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 475-0444

4880 I 55 Frontage Rd N
Jackson, MS 39211
Phone (601) 467-9199

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1073 Highway 51
Ste 101
Madison, MS 39110
Phone (601) 499-1840

1516 23rd Ave
Meridian, MS 39301
Phone (601) 553-6491

1067 Highland Colony Pkwy
Ridgeland, MS 39157
Phone (601) 707-3490

1051 Highland Colony Pkwy
Ste E
Ridgeland, MS 39157
Phone (601) 707-3737

786 Lake Harbour Dr
Ridgeland, MS 39157
Phone (601) 499-0022

1150 S Green St
Ste D
Tupelo, MS 38804
Phone (601) 815-3575

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19538/brand/2/csg/1/fhir/r4
  • Direct secure messaging: michelle.tharp.2@19538.direct.athenahealth.com
  • Direct secure messaging: mtharp25606@ummc.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/19538/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1720528011",
    "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": "601-984-6270"
        },
        {
            "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": "601-984-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARP",
        "first_name": "MICHELLE",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "F1216629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.