Active NPI
Bernadine Collette Dixon, NP
- Family Nurse Practitioner
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R658979
- Practice address
- 4381 S Eason Blvd Ste 102B
Tupelo, MS 38801-6583 - Phone
- (662) 377-6610
- Fax
- (662) 377-6614
- NPI assigned
- Aug 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R658979 | MS | Primary |
Addresses
Primary practice location
4381 S Eason Blvd Ste 102B
Tupelo, MS 38801-6583
Mailing address
PO Box 4018
Tupelo, MS 38803-4018
Phone (662) 377-6610
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
830 S Gloster
North Ms Med Ctr Sleep Lab
Tupelo, MS 38801-4934
Phone (662) 377-3258
830 S Gloster St
Tupelo, MS 38801-4934
830 S Gloster St 3Rd FL E Tower
Tupelo, MS 38801-4934
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R658979 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Clinics Inc | Family | Current | Accepting new patients |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medical Clinics Inc | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medical Clinics Inc | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| North Mississippi Medical Center | Past | Accepting new patients | |
| North Mississippi Medical Center | Past | Accepting new patients |
Locations
4381 S Eason Blvd
Tupelo, MS 38801
Phone (662) 377-5199
4381 S Eason Blvd
Ste 102B
Tupelo, MS 38801
Phone (662) 377-6610
4579 S Eason Blvd
Ste A
Tupelo, MS 38801
Phone (662) 377-6161
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025
Interoperability endpoints
- bernadinedixon@nmhs.medalliesdirect.net
Organizations & group practices 9
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.
-
dba Behavioral Health Center
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
dba Radiology Consultants
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
dba Advanced Wound Center Professionals
- Family Medicine Physician
- Tupelo, MS
- NPI 1063739290
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
dba Pulmonary Consultants
- Pulmonary Disease Physician
- Tupelo, MS
- NPI 1104937143
-
dba The Women's Group West Point
- Obstetrics & Gynecology Physician
- West Point, MS
- NPI 1588769970
-
dba Family Medicine Residency Center
- Family Medicine Physician
- Tupelo, MS
- NPI 1285745885
-
dba Physical Medicine Rehab
- Physical Medicine & Rehabilitation Physician
- Tupelo, MS
- NPI 1710081369
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North MS Medical Center Home Health Agency
- Home Health Agency
- Tupelo, MS
- NPI 1003871344
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902914716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4018",
"city": "TUPELO",
"state": "MS",
"postal_code": "388034018",
"telephone_number": "662-377-6610",
"fax_number": "662-377-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4381 S EASON BLVD STE 102B",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016583",
"telephone_number": "662-377-6610",
"fax_number": "662-377-6614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "BERNADINE",
"middle_name": "COLLETTE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R658979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.