Jessica Hardy, FNP
Individual provider Active NPI Family Nurse Practitioner · Meridian, MS
NPI 1982017315 · NPPES record last updated Jun 3, 2014
Key facts
- NPI
- 1982017315
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R883176 (MS)
- Practice address
- 1314 19TH Ave
Meridian, MS 39301-4116 - Phone
- (601) 703-9260
- NPI assigned
- Jun 3, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kemper Cah, Inc.
Practice addresses (Care Compare)
30 Ponderosa Ave
De Kalb, MS 39328-9104
Phone (601) 743-4626
Hospital & facility affiliations
- Centerwell Home Health
- Ochsner Stennis Memorial Hospital
- Ochsner Rush Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140911000872 | MS | Practitioner - Nurse Practitioner | 9436378148 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laird Hospital, Inc. | Family | Current |
Accepting new patients |
| Kemper Cah, Inc | Current |
Accepting new patients | |
| Rush Medical Foundation | Current |
Accepting new patients | |
| Kemper Cah, Inc. | Current |
Accepting new patients | |
| Laird Hospital, Inc. | Current | Accepting new patients | |
| Laird Hospital, Inc. | Current |
Accepting new patients | |
| Rush Medical Foundation | Current |
Accepting new patients | |
| Rush Medical Foundation | Current | Accepting new patients |
Locations
9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874
14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000
1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011
905C S Frontage Rd
Meridian, MS 39301
Phone (601) 482-4955
603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123
24345 Highway 15
Union, MS 39365
Phone (601) 774-8211
25117 Highway 15
Union, MS 39365
Phone (601) 774-8214
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R883176 | MS | Yes |
Addresses
Primary practice location
1314 19TH Ave
Meridian, MS 39301-4116
Mailing address
1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 703-9260
Other providers in Meridian, MS
- Happy Smiles Dentistry-Meridian LLC
- Christopher Haralson
- Frank L Harbin
- Gwendolyn Hardaway
- Linda Hardin
- Jonnie Hardy
- Tyler McKaylen Harless
- Francis E Harman
- Harmony Health Services, LLC
- Jenna Harper
All providers in Meridian, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.