Andrea Marie Pike, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

906288 Issued in MS

Practice address

1301 Belk Blvd
Oxford, MS 38655-5301

Phone

(662) 234-7821

NPI assigned

Nov 27, 2021

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boa Vida Hospital of Aberdeen Ms LLCGroup PAC ID 0244505840, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Multi-Specialty Clinic/Center
  • Aberdeen, MS
  • NPI 1710405741
  Medicare reassignment Care Compare group NPD
• Boa Vida Hospital of Aberdeen, Ms LLC

  • Community/Retail Pharmacy
  • Aberdeen, MS
  • NPI 1134858269
  NPD
• Boa Vida Hospital of Aberdeen, Ms LLC

  • Rural Health Clinic/Center
  • Tupelo, MS
  • NPI 1669063202
  NPD (past)
• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Rural Health Clinic/Center
  • Aberdeen, MS
  • NPI 1245757301
  NPD (past)
• Pioneer Health Services of Monroe County, Inc

  • Rural Health Clinic/Center
  • Aberdeen, MS
  • NPI 1083658595
  NPD (past)

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

{
    "created_epoch": "1637971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1821755737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555301",
            "telephone_number": "662-234-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555301",
            "telephone_number": "662-234-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-27",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "906288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latissa Phillips, BSW
• Lauren Leiden Phillips, DDS
• Patricia Kiste Phillips, LCSW
• Ronald Henry Pierce, LCSW
• Holly Pigeon, CPSS
• Halie Gregory Pike, M.ED.
• Karrye S Pippin, B.A.
• Britni Pittman, BSW, LSW
• Hannah Pittman, WHNP-BC
• Kathryn B. Pittman

• Nurse Practitioner in Oxford, MS
• Providers in Oxford, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.