Active NPI
Monica McCarley, F.N.P.
- Pediatric Nurse Practitioner
- Tupelo, MS
National Provider Identifier
1770928707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 853832
- Practice address
- 942 Commonwealth Blvd
Tupelo, MS 38804-9762 - Phone
- (662) 620-0101
- Fax
- (662) 620-0195
- NPI assigned
- May 3, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 853832 | MS | Primary |
Addresses
Primary practice location
942 Commonwealth Blvd
Tupelo, MS 38804-9762
Mailing address
850 Poplar Ave
Memphis, TN 38105
Other names 1
- Monica Mathews
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Lebonheur Pediatric Specialists, Inc. | Current | Accepting new patients |
Locations
610 Brunson Dr
Tupelo, MS 38801
Phone (601) 844-7211
942 Commonwealth Blvd
Tupelo, MS 38804
Phone (662) 620-0101
850 Poplar Ave
Memphis, TN 38105
Phone (901) 287-5594
850 Poplar Ave
Bldg 2
Memphis, TN 38105
Phone (901) 287-5594
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1770928707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "942 COMMONWEALTH BLVD",
"city": "TUPELO",
"state": "MS",
"postal_code": "388049762",
"telephone_number": "662-620-0101",
"fax_number": "662-620-0195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARLEY",
"first_name": "MONICA",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-03",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MS",
"license": "853832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "MATHEWS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.