Individual provider Active NPI

Cynthia A Jensen, ACNP

  • Acute Care Nurse Practitioner
  • Pascagoula, MS
National Provider Identifier
1902835473
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R792936 Issued in MS
Practice address
4300 Hospital St
Suite 102
Pascagoula, MS 39581-5329
Phone
(228) 762-1002
Fax
(228) 762-1012
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R792936 MS Primary

Addresses

Primary practice location

4300 Hospital St
Suite 102
Pascagoula, MS 39581-5329

Mailing address

4300 Hospital St
Suite 102
Pascagoula, MS 39581-5329
Phone (228) 762-1002

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
I20060920000214 MS Practitioner - Nurse Practitioner 7315942620 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

4300 Hospital St
Pascagoula, MS 39581-5306
Phone (228) 809-5110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.42 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R792936MSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Apr 7, 2025 Accepting new patients
Southern Ms Heart Center,PA Current Accepting new patients
Singing River Health System Past Accepting new patients

Locations

3704 Bienville Blvd
#B
Ocean Springs, MS 39564
Phone (228) 872-4040

11 Doctors Dr
Ocean Springs, MS 39564
Phone (228) 266-2208

4211 Hospital St
Ste 202
Pascagoula, MS 39581
Phone (228) 372-8270

4300 Hospital St
Ste 102
Pascagoula, MS 39581
Phone (228) 372-8270

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902835473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HOSPITAL ST",
            "address_2": "SUITE 102",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815329",
            "telephone_number": "228-762-1002",
            "fax_number": "228-762-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HOSPITAL ST",
            "address_2": "SUITE 102",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815329",
            "telephone_number": "228-762-1002",
            "fax_number": "228-762-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R792936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.