Dana Pannell

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

906691 Issued in MS

Practice address

20 Elmwood LN
Boyle, MS 38730-9631

Phone

(662) 719-3119

NPI assigned

Jun 12, 2024

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Express Care of Cleveland, LLCGroup PAC ID 0547502387, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bolivar Medical Center Hospital, Cleveland, MS, CCN 250093

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dpannell219634@ummc.direct-ci.com

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.

• Express Care of Cleveland, LLC

  • Urgent Care Clinic/Center
  • Cleveland, MS
  • NPI 1780151381
  Medicare reassignment Care Compare group NPD
• Grenada Physician Services, LLC

  • Hospitalist Physician
  • Grenada, MS
  • NPI 1932762721
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD
• State of Mississippi-University of Mississippi Medical Center

  dba University of Mississippi Medical Center-Grenada Specialty Clinic

  • Family Medicine Physician
  • Grenada, MS
  • NPI 1932538527
  NPD

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

• PHC-Cleveland LLC

  dba Bolivar Medical Center

  • General Acute Care Hospital
  • Cleveland, MS
  • NPI 1457321036
  Care Compare affiliation

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1750123394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ELMWOOD LN",
            "city": "BOYLE",
            "state": "MS",
            "postal_code": "387309631",
            "telephone_number": "662-719-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ELMWOOD LN",
            "city": "BOYLE",
            "state": "MS",
            "postal_code": "387309631",
            "telephone_number": "662-719-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nichole Brooks, M.ED
• Cleveland Transport LLC
• Yolanda H. Jackson
• North Sunflower Medical Center (Sunflower Boyle Clinic)
• Patrick Brent Smith, M.D.
• Glynn Nora Standifer, FNP
• Willie Mae Clerk Adult Day Care ,LLC
• Wisdom Adult Day Center

• Family Nurse Practitioner in Boyle, MS
• Providers in Boyle, 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 Jun 12, 2024; 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.