Individual provider Active NPI

Katherine E Jones, FNP-BC

  • Family Nurse Practitioner
  • Mantachie, MS
National Provider Identifier
1851029409
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905605 Issued in MS
Practice address
3275 Highway 371 N
Mantachie, MS 38855-7145
Phone
(662) 282-7555
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905605 MS Primary
Registered Nurse 163W00000X 910009 MS

Addresses

Primary practice location

3275 Highway 371 N
Mantachie, MS 38855-7145

Mailing address

3275 Highway 371 N
Mantachie, MS 38855-7145
Phone (662) 282-7555

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
I20221217000019 MS Practitioner - Nurse Practitioner 8123497971 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
Hometown Care of Mantachie, LLC 7 clinicians

Practice addresses (Care Compare)

3275 Hwy 371 N
Mantachie, MS 38855-7145
Phone (662) 282-7555

Merit-based Incentive Payment System (MIPS)

Final score
92.03 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
910009MSMDRegistered Nurse
905605MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Care of Mantachie LLC Family CurrentSince Oct 17, 2022 Accepting new patients

Locations

3275 Highway 371 N
Mantachie, MS 38855
Phone (662) 282-7555

Interoperability endpoints

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

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1851029409",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905605",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "910009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mantachie, MS

Sources for this page

Verify at the official NPI Registry.