Individual provider Active NPI

Jesse Rogers, FNP-C

  • Family Nurse Practitioner
  • Equality, AL
National Provider Identifier
1891556247
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-169603 Issued in AL
Practice address
903 Chapman Creek Rd
Equality, AL 36026-4622
Phone
(601) 914-9620
Fax
(601) 914-9620
NPI assigned
Jan 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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 1-169603 AL Primary

Addresses

Primary practice location

903 Chapman Creek Rd
Equality, AL 36026-4622

Mailing address

778 Liberty Rd
Flowood, MS 39232-9300
Phone (601) 914-9620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240402001241 AL Practitioner - Nurse Practitioner 7911345517 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Discovery Medical Center, LLCGroup PAC ID 0042581704, 4 clinicians

Practice addresses (Care Compare)

415 E Church St NW
Suite 1And2
Huntsville, AL 35801-5578
Phone (256) 533-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-169603ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Medical Center LLC CurrentSince Sep 23, 2024 Accepting new patients
Wound Management Specialists, LLC CurrentSince Mar 18, 2024 Accepting new patients
Discovery Medical Center LLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

415E Church St NW
Ste 1AND2
Huntsville, AL 35801
Phone (256) 533-2900

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

Organizations & group practices 3

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": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1891556247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 LIBERTY RD",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329300",
            "telephone_number": "601-914-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 CHAPMAN CREEK RD",
            "city": "EQUALITY",
            "state": "AL",
            "postal_code": "360264622",
            "telephone_number": "601-914-9620",
            "fax_number": "601-914-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JESSE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-169603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Equality, AL

Sources for this page

Verify at the official NPI Registry.