MRS. CHRISTIAN R FORTENBERRY FNP
NPI 1003415266
Nurse Practitioner - Family in Jackson, MS

Q: What is Christian Fortenberry's NPI number?

The NPI number for Christian Fortenberry is 1003415266. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Q: What is Christian Fortenberry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 20, 2020PECOS EnrolledAccepts Medicare Assignment

88.44/100

CMS Quality Rating

971 LAKELAND DR STE 557, JACKSON, MS 39216(601) 200-4560(601) 200-4580 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2025, Sep 9, 2022, Oct 20, 2020 (3 updates tracked since 2020).

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About Mrs. Christian R Fortenberry Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CHRISTIAN R FORTENBERRY FNP (NPI 1003415266) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (904008) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with St Francis Medical Center, and maintains a secondary practice location in Ridgeland.

NPPES Registry Identity

NPI1003415266

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CHRISTIAN R FORTENBERRYCredential: FNP

Location Address971 LAKELAND DR STE 557Jackson, MS 39216-4661

Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (601) 200-4560 · Fax (225) 765-9196

Phone(601) 200-4560

Fax(601) 200-4580

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 20, 2020

Last NPPES UpdateOctober 2, 20253 updates tracked since enumeration

NPPES CertifiedOctober 2, 2025

✔ NPI 1003415266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 904008

971 LAKELAND DR STE 557, Jackson, MS 39216

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Secondary Practice Location 1

Location 1786 Lake Harbour DrRidgeland, MS 39157-4303 · Phone (601) 499-0022

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Christian R Fortenberry Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355751868

PECOS Enrollment IDI20201111001250

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Christian Fortenberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Dominic Medical Associates LLC

Same address

Gastroenterology

971 LAKELAND DR STE 250
Jackson, MS 39216

Reassigned Medicare billing, Mississippi enrollment
136 clinicians in this Medicare group

NPI 1902374085 (601) 200-5550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

443 services383 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

351 services320 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

129 services105 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

48 services48 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

39 services39 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis Medical Center

Acute Care Hospitals · Monroe, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190125

Location309 Jackson StreetMonroe, LA 71201 · Ouachita County

Emergency services Birthing friendly

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number250048

Location969 Lakeland DrJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

King's Daughters Medical Center-Brookhaven

Acute Care Hospitals · Brookhaven, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250057

Location427 Highway 51 NorthBrookhaven, MS 39601 · Lincoln County

Emergency services Birthing friendly

Delta Health System - The Medical Center

Acute Care Hospitals · Greenville, MS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250082

Location1400 E Union Street / PO Box 5247Greenville, MS 38704 · Washington County

Emergency services Birthing friendly

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250097

Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.29

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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