Individual provider Active NPI

Xiaoming Hester, FNP-C

  • Family Nurse Practitioner
  • Yazoo City, MS
National Provider Identifier
1902575830
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905212 Issued in MS
Practice address
1435 Grand Ave
Yazoo City, MS 39194-2651
Phone
(662) 746-3555
NPI assigned
Sep 13, 2021
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 905212 MS
Family Nurse Practitioner 363LF0000X 905212 MS Primary
Registered Nurse 163W00000X R882916 MS

Addresses

Primary practice location

1435 Grand Ave
Yazoo City, MS 39194-2651

Mailing address

134 Fairfield Cir
Madison, MS 39110-7802

Other practice location 1

1171 Hart St
Canton, MS 39046-4805
Phone (601) 859-9888

Other practice location 2

2629 Courthouse Cir
Flowood, MS 39232-9521
Phone (601) 420-4300

Other practice location 3

1082 Gluckstadt Rd
Madison, MS 39110-7243
Phone (601) 506-5819

Other identifiers 1

IdentifierTypeStateIssuer
009458396MedicaidMS

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
I20220331002467 MS Practitioner - Nurse Practitioner 7517353493 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2506 Lakeland Dr
Suite 300
Flowood, MS 39232-7640

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R882916MSMDRegistered Nurse
905212MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Children's Clinic, PLLC CurrentSince Oct 12, 2023 Accepting new patients
PSP Medical Clinic CurrentSince Mar 10, 2022 Accepting new patients
Gulf Coast Wound Associates LLC CurrentSince Sep 15, 2023 Accepting new patients
Cleveland Children's Clinic, PLLC CurrentSince Oct 12, 2023 Accepting new patients
PSP Medical Clinic LLC Current Accepting new patients
PSP Medical Clinic Past Accepting new patients
Joyce D Wade Pulmonary & Sleep Specialist PastSince Jun 1, 2025 Accepting new patients

Locations

2279 Atkinson Rd
Biloxi, MS 39531
Phone (228) 388-1805

1171 Hart St
Canton, MS 39046
Phone (601) 859-9888

818 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 579-3449

2629 Courthouse Cir
Flowood, MS 39232
Phone (601) 362-0611

2629 Courthouse Cir
Ste A
Flowood, MS 39232
Phone (601) 420-4300

1431 S Colorado St
Greenville, MS 38703
Phone (662) 579-3449

1530 Broad Ave
Gulfport, MS 39501
Phone (228) 236-4262

1436 Central Ave E
Wiggins, MS 39577
Phone (601) 928-1889

1435 Grand Ave
Yazoo City, MS 39194
Phone (662) 532-2399

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13708/brand/1/csg/1/fhir/r4
  • Direct secure messaging: xiaoming.hester.p1@direct.magnoliamedical.nextgenshare.com
  • Direct secure messaging: xiaoming.hester.p1@direct.tricountypulsleep.nextgenshare.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1902575830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 FAIRFIELD CIR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 GRAND AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391942651",
            "telephone_number": "662-746-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1171 Hart St",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MS",
            "postal_code": "390464805",
            "country_code": "US",
            "telephone_number": "601-859-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2629 Courthouse Cir",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329521",
            "country_code": "US",
            "telephone_number": "601-420-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1082 Gluckstadt Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391107243",
            "country_code": "US",
            "telephone_number": "601-506-5819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESTER",
        "first_name": "XIAOMING",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905212",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905212",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R882916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009458396",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yazoo City, MS

Sources for this page

Verify at the official NPI Registry.