Jennifer Leigh McMinn – Family Nurse Practitioner

Key facts

NPI: 1730141995
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: R861080 (MS)
Practice address: 3 Reids Ave
Potts Camp, MS 38659-8298
Phone: (662) 333-4333
NPI assigned: Apr 4, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Potts Camp Family Medical Clinic Family Nurse Practitioner · Potts Camp, MS · NPI 1942519517

Medicare reassignment Care Compare group NPD FAMILY · MS

Hospital & facility affiliations 2

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

Baptist Memorial Hospital Union County, Inc. General Acute Care Hospital · New Albany, MS · NPI 1780648352

Care Compare affiliation Hospital
Gilbert'S Home Health Agency, Inc. Home Health Agency · Tupelo, MS · NPI 1972509099

Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2005
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Potts Camp Family Medical Clinic (2 clinicians)

Practice addresses (Care Compare)

3 Reids Ave
Potts Camp, MS 38659-8298
Phone (662) 333-4333

Hospital & facility affiliations

Centerwell Home Health Home health agency · Tupelo, MS · CCN 257303
Baptist Memorial Hospital Union County Hospital · New Albany, MS · CCN 250006

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
I20050923000617	MS	Practitioner - Nurse Practitioner	2062454846	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Potts Camp Family Medical Clinic	Family	Current since Oct 26, 2018	Accepting new patients

Locations

3 Reids Ave
Potts Camp, MS 38659
Phone (662) 333-4333

228 Manor Ave
Millersville, PA 17551
Phone (717) 872-4636

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	R861080	MS	Yes

Addresses

Primary practice location

3 Reids Ave
Potts Camp, MS 38659-8298

Mailing address

PO Box 88
Potts Camp, MS 38659-0088
Phone (662) 333-4333

Other identifiers

Identifier	Type	State	Issuer
06879334	Medicaid	MS

Other providers in Potts Camp, MS

All providers in Potts Camp, 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 Jan 3, 2023. 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.

Verify at the official NPI Registry.