Individual provider Active NPI

John Yu, NP

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1881495661
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906515 Issued in MS
Practice address
1040 River Oaks Dr Ste 203a
Flowood, MS 39232-9534
Phone
(601) 429-1150
Fax
(833) 427-1433
NPI assigned
Mar 19, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 906515 MS Primary

Addresses

Primary practice location

1040 River Oaks Dr Ste 203a
Flowood, MS 39232-9534

Mailing address

709 Sunward CV
Richland, MS 39218-9211
Phone (601) 291-8579

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
I20250326002936 MS Practitioner - Nurse Practitioner 1355864778 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Associates LLC CurrentSince Mar 21, 2025 Accepting new patients

Locations

16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771

160 River Oaks Dr
#B
Canton, MS 39046
Phone (601) 761-7280

1040 River Oaks Dr
Ste 201
Jackson, MS 39232
Phone (601) 429-1150

431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440

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": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1881495661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 SUNWARD CV",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392189211",
            "telephone_number": "601-291-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR STE 203A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329534",
            "telephone_number": "601-429-1150",
            "fax_number": "833-427-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.