Hannah Poff Wilson, FNP
Individual provider Active NPI Nurse Practitioner · Ashland, MS
NPI 1861151847 · NPPES record last updated Dec 16, 2021
Key facts
- NPI
- 1861151847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 904700 (MS)
- Practice address
- 15921 Boundary Dr
Ashland, MS 38603-7740 - Phone
- (662) 224-8951
- NPI assigned
- Dec 16, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Mississippi Primary Health Care Inc
Practice addresses (Care Compare)
15921 Boundary Dr
Ashland, MS 38603-7740
Phone (662) 224-8951
Hospital & facility affiliations
- Centerwell Home Health
- Magnolia Regional Health Center
- Tippah County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220322002845 | MS | Practitioner - Nurse Practitioner | 9830584259 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 904700 | MS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Primary Health Care, Inc. | Current |
Accepting new patients | |
| North Mississippi Primary Health Care, Inc. | Current |
Accepting new patients | |
| North Mississippi Primary Health Care, Inc. | Past | Accepting new patients |
Locations
1415 S Harper Rd
Corinth, MS 38834
Phone 6622248951299
531 Main St
Walnut, MS 38683
Phone (662) 223-4011
Interoperability endpoints
- hannah.wilson.1@28179.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 904700 | MS | Yes |
Addresses
Primary practice location
15921 Boundary Dr
Ashland, MS 38603-7740
Mailing address
355 Carter FLTS
Ashland, MS 38603-7111
Phone (662) 316-3459
Other providers in Ashland, MS
- Strive Therapy and Wellness Center
- United Community Action Committee, Inc.
- Vanguard of Ashland, LLC
- Renee Lachon Voshake
- Christy Williams
All providers in Ashland, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.