Active NPI
Michelle Tharp, RN, FNP
- Nurse Practitioner
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F1216629
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| F1216629 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustcare Health, LLC | Current | Accepting new patients | |
| Gluckstadt TC Kids, LLC | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Advantage Health Saint Mary's Medical Group | Past | Accepting new patients | |
| St. Dominic Jackson Memorial | Past | 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
- https://api.platform.athenahealth.com/19538/brand/2/csg/1/fhir/r4
- michelle.tharp.2@19538.direct.athenahealth.com
- mtharp25606@ummc.direct-ci.com
- 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.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Pediatrics Physician
- Madison, MS
- NPI 1255947297
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1235173691
-
dba TrustCare Health, LLC
- Family Medicine Physician
- Madison, MS
- NPI 1174078554
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1952340911
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.