NPIMap

Individual provider Active NPI

Brandon Wesley Hutchison, FNP

  • Family Nurse Practitioner
  • Ashland, MS
National Provider Identifier
1821628405
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903797 Issued in MS
Practice address
15921 Boundary Dr
Ashland, MS 38603-7740
Phone
(662) 224-8951
NPI assigned
Jan 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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 903797 MS Primary

Addresses

Primary practice location

15921 Boundary Dr
Ashland, MS 38603-7740

Mailing address

PO Box 92
Ashalnd, MS 38603-9181
Phone (662) 502-3137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200310001321 MS Practitioner - Nurse Practitioner 5597193334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Mississippi Primary Health Care IncGroup PAC ID 3274513528, 27 clinicians

Practice addresses (Care Compare)

15921 Boundary Dr
Ashland, MS 38603-7740
Phone (662) 224-8951

15921 Boundary Dr
P O Box 92
Ashland, MS 38603-0092

15931 Boundary Dr
Ashland Multispecialty Telehealth
Ashland, MS 38603-7740
Phone (662) 502-3149

2716 W Oxford Loop
171 Oxford HLTH Care Assoc
Oxford, MS 38655-5722
Phone 6622248951237

749 S Line St
Ripley, MS 38663-2811
Phone (662) 837-0000

P O Box
Suite 92
Ashland, MS 38603-0092

PO Box
Suite 92
Ashland, MS 38603-0092

Hospital & facility affiliations

  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009
  • Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044
  • Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903797MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Primary Health Care, Inc. CurrentSince Feb 3, 2020 Accepting new patients
North Mississippi Primary Health Care, Inc. Current Accepting new patients
North Mississippi Primary Health Care, Inc. CurrentSince Feb 3, 2020 Accepting new patients
North Mississippi Primary Health Care, Inc. Past Accepting new patients

Locations

488 W Bankhead St
New Albany, MS 38652
Phone (662) 534-0898

Interoperability endpoints

  • Direct secure messaging: brandon.hutchison.1@28179.direct.athenahealth.com

Organizations & group practices 12

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 3

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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1821628405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "ASHALND",
            "state": "MS",
            "postal_code": "386039181",
            "telephone_number": "662-502-3137",
            "fax_number": "662-224-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15921 BOUNDARY DR",
            "city": "ASHLAND",
            "state": "MS",
            "postal_code": "386037740",
            "telephone_number": "662-224-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "BRANDON",
        "middle_name": "WESLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, MS

Sources for this page

Verify at the official NPI Registry.