Individual provider Active NPI

Macey L Chrestman, NP

  • Family Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1831887728
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905862 Issued in MS
Practice address
2580 Jackson Ave W Ste 44
Oxford, MS 38655-5497
Phone
(662) 234-9112
Fax
(662) 234-9112
NPI assigned
Apr 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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 905862 MS Primary

Addresses

Primary practice location

2580 Jackson Ave W Ste 44
Oxford, MS 38655-5497

Mailing address

2580 Jackson Ave W Ste 44
Oxford, MS 38655-5497
Phone (662) 234-9112

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
I20230608003161 MS Practitioner - Nurse Practitioner 1557728391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Hill Health Services, LLCGroup PAC ID 8921358128, 6 clinicians

Practice addresses (Care Compare)

2580 Jackson Ave W
Oxford, MS 38655-5497
Phone (662) 234-9112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
905862MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Hill Health Services, LLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

2580 Jackson Ave W
Ste 44
Oxford, MS 38655
Phone (662) 234-9112

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": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1831887728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 JACKSON AVE W STE 44",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555497",
            "telephone_number": "662-234-9112",
            "fax_number": "662-234-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 JACKSON AVE W STE 44",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555497",
            "telephone_number": "662-234-9112",
            "fax_number": "662-234-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRESTMAN",
        "first_name": "MACEY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.