Andrea Carpenter, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902761 Issued in MS

Practice address

3275 Highway 371 N
Mantachie, MS 38855-7145

Phone

(662) 282-7555

Fax

(662) 346-7074

NPI assigned

Sep 27, 2018

Last updated

Jul 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hometown Care of Mantachie, LLCGroup PAC ID 4789917808, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Ctr HHA Home health agency, Tupelo, MS, CCN 257002
• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

Merit-based Incentive Payment System (MIPS)

Final score

92.03 of 100Reported as group

Quality

100

Improvement activities

40

Cost

70.75

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBGIBD

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.

• Hometown Care of Mantachie LLC

  • Family Nurse Practitioner
  • Mantachie, MS
  • NPI 1164987426
  Medicare reassignment Care Compare group NPD Authorized official
• Hometown Care of North Mississippi, Inc

  • Family Nurse Practitioner
  • Okolona, MS
  • NPI 1881358349
  Medicare reassignment NPD Authorized official

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

• North Mississippi Medical Center, Inc.

  dba North MS Medical Center Home Health Agency

  • Home Health Agency
  • Tupelo, MS
  • NPI 1003871344
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  dba North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1780169557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 HIGHWAY 371 N",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388557145",
            "telephone_number": "662-282-7555",
            "fax_number": "662-346-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 HIGHWAY 371 N",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388557145",
            "telephone_number": "662-282-7555",
            "fax_number": "662-346-7074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 S Gloster St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388014934",
            "country_code": "US",
            "telephone_number": "662-377-3270",
            "fax_number": "662-377-4352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "ANDREA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Emily Bass, COTA/L
• Timmi Unger Bishop, MS, RD, LD
• Austin Harbor Black, FNP-BC
• Hannah Grace Boren, FNP-C
• Madison Leigh Carrell, FNP-C
• Nativel J Collins, CFNP
• Community Family Healthcare, Inc
• Countrywood Manor Assisted Living, Inc.
• Extra Mile Recovery, LLC

• Family Nurse Practitioner in Mantachie, MS
• Providers in Mantachie, 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 Jul 22, 2019; 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.