Individual provider Active NPI

Tina D Highfill, FNP-BC

  • Family Nurse Practitioner
  • Richland, MS
National Provider Identifier
1851364228
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R676276 Issued in MS
Practice address
129 Center St Ste B
Richland, MS 39218-4800
Phone
(769) 233-7141
NPI assigned
Feb 8, 2006
Last updated
Oct 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 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 R676276 MS Primary

Addresses

Primary practice location

129 Center St Ste B
Richland, MS 39218-4800

Mailing address

118 Mullherrin Dr
Madison, MS 39110-4533
Phone (601) 407-3226

Other identifiers 2

IdentifierTypeStateIssuer
302I506854OtherMSMEDICARE
00123299MedicaidMS

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
I20100304000081 MS Practitioner - Nurse Practitioner 0941345706 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R676276MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Systems Management LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

129 Center St
Ste B
Richland, MS 39218
Phone (769) 233-7141

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1851364228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MULLHERRIN DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391104533",
            "telephone_number": "601-407-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CENTER ST STE B",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392184800",
            "telephone_number": "769-233-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHFILL",
        "first_name": "TINA",
        "middle_name": "D",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R676276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "302I506854",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123299",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, MS

Sources for this page

Verify at the official NPI Registry.