Individual provider Active NPI

Christopher Ferracci, FNP

  • Family Nurse Practitioner
  • Clarksdale, MS
National Provider Identifier
1760929939
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901933 Issued in MS
Practice address
1015 Lee Dr Ste 13
Clarksdale, MS 38614-3619
Phone
(662) 592-4170
NPI assigned
Jan 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 901933 MS Primary

Addresses

Primary practice location

1015 Lee Dr Ste 13
Clarksdale, MS 38614-3619

Mailing address

1015 Lee Dr Ste 13
Clarksdale, MS 38614-3619
Phone (662) 592-4170

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
I20180403000795 MS Practitioner - Nurse Practitioner 7113289174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Clinic of Clarksdale PLLCGroup PAC ID 6800054297, 2 clinicians

Practice addresses (Care Compare)

1015 Lee Dr
Suite 13
Clarksdale, MS 38614-3619
Phone (662) 592-4170

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Cleveland, MS, CCN 257016
  • Northwest Missississippi Regional Medical Center Hospital, Clarksdale, MS, CCN 250042

Merit-based Incentive Payment System (MIPS)

Final score
88.56 of 100Reported as group
Quality
84.62
Improvement activities
40
Cost
80.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Clinic of Clarksdale, PLLC CurrentSince Mar 1, 2018 Accepting new patients

Locations

1015 Lee Dr
Ste 13
Clarksdale, MS 38614
Phone (662) 592-4170

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.

Hospital & facility affiliations 2

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": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1760929939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 LEE DR STE 13",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386143619",
            "telephone_number": "662-592-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 LEE DR STE 13",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386143619",
            "telephone_number": "662-592-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRACCI",
        "first_name": "CHRISTOPHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

Verify at the official NPI Registry.