Jena Wade Anthony, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R882626 Issued in MS

Practice address

457 E Madison St
Houston, MS 38851-2308

Phone

(662) 567-5005

NPI assigned

Sep 3, 2015

Sex

Female

Sole proprietor

Yes

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.

• Cain Clinic of Eupora

  • Family Medicine Physician
  • Eupora, MS
  • NPI 1205180882

  MS

  Medicare reassignment NPD
• Wade Clinic LLC

  • Family Nurse Practitioner
  • Calhoun City, MS
  • NPI 1225580046

  Family, MS

  Medicare reassignment NPD

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20757/brand/3/csg/22/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2015.

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1962870253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5338 MS HIGHWAY 9",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397448606",
            "telephone_number": "662-983-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 E MADISON ST",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388512308",
            "telephone_number": "662-567-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "JENA",
        "middle_name": "WADE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R882626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boa Vida Hospital of Aberdeen, Ms LLC
• Mary A Byrd
• Jaime D Castillo Jr., M.D.
• Chickasaw Dental Group L. L. C.
• Chickasaw Emergency Group LLC

• All providers in Houston, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.