Individual provider Active NPI

Melinda Louise Quinn, CFNP

  • Nurse Practitioner
  • Falkner, MS
National Provider Identifier
1750570677
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R764359 Issued in MS
Practice address
10150 CR 200
Falkner, MS 38629-9707
Phone
(662) 512-0139
Fax
(662) 512-0438
NPI assigned
Oct 16, 2007
Last updated
Feb 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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 R764359 MS Primary

Addresses

Primary practice location

10150 CR 200
Falkner, MS 38629-9707

Mailing address

10150 County Road 200
Falkner, MS 38629-9707
Phone (662) 512-0139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Clinic of New AlbanyGroup PAC ID 0345250767, 5 clinicians

Practice addresses (Care Compare)

474 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 534-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R764359MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Clinic of New Albany CurrentSince Sep 1, 2023 Accepting new patients
Acute Care & Family Clinic of Pontotoc Nurse Practitioner PastSince May 1, 2004 Accepting new patients
Sherman Family Clinic Nurse Practitioner Past Accepting new patients
Magnolia State Family Medicine, LLC Past Accepting new patients

Locations

474 W Bankhead St
New Albany, MS 38652
Phone (662) 534-3050

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1750570677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 COUNTY ROAD 200",
            "city": "FALKNER",
            "state": "MS",
            "postal_code": "386299707",
            "telephone_number": "662-512-0139",
            "fax_number": "662-512-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 CR 200",
            "city": "FALKNER",
            "state": "MS",
            "postal_code": "386299707",
            "telephone_number": "662-512-0139",
            "fax_number": "662-512-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "MELINDA",
        "middle_name": "LOUISE",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R764359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falkner, MS

Sources for this page

Verify at the official NPI Registry.