Active NPI
Katherine E Jones, FNP-BC
- Family Nurse Practitioner
- Mantachie, MS
National Provider Identifier
1851029409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 905605
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 70.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 910009 | MS | MD | Registered Nurse |
| 905605 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Care of Mantachie LLC | Family | Current | Accepting new patients |
Locations
3275 Highway 371 N
Mantachie, MS 38855
Phone (662) 282-7555
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.