Individual provider Active NPI

Wanda Sue Stroupe, NP

  • Nurse Practitioner
  • Ripley, MS
National Provider Identifier
1902876238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R622214 Issued in MS
Practice address
1007 N Main St
Ripley, MS 38663-1424
Phone
(662) 993-9336
Fax
(662) 993-9338
NPI assigned
Jan 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Nurse Practitioner 363L00000X R622214 MS Primary

Addresses

Primary practice location

1007 N Main St
Ripley, MS 38663-1424

Mailing address

PO Box 4027
Tupelo, MS 38803-4027
Phone (662) 377-4685

Other identifiers 1

IdentifierTypeStateIssuer
01682365MedicaidMS

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
I20040421000696 MS Practitioner - Nurse Practitioner 4688660152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Clinic of RipleyGroup PAC ID 3072514009, 4 clinicians

Practice addresses (Care Compare)

1331 City Ave N
Ripley, MS 38663-1102
Phone (662) 993-9336

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Clinic of Ripley Nurse Practitioner CurrentSince Oct 12, 2006 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Tippah County Hospital Past Accepting new patients
Tippah County Medical Group PA Past Accepting new patients
The Women's Clinic of New Albany, P.C. Past Accepting new patients

Locations

1007 N Main St
Ripley, MS 38663
Phone (662) 512-0022

1331 City Ave N
Ripley, MS 38663
Phone (662) 993-9336

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de
  • Direct secure messaging: wandastroupe@nmhs.medalliesdirect.net

Organizations & group practices 5

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 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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902876238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4027",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388034027",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N MAIN ST",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631424",
            "telephone_number": "662-993-9336",
            "fax_number": "662-993-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUPE",
        "first_name": "WANDA",
        "middle_name": "SUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R622214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01682365",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, MS

Sources for this page

Verify at the official NPI Registry.