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RAVEN S ELDRIDGE
NPI 1013703016
Student in an Organized Health Care Education/Training Program in Tupelo, MS

Active since April 16, 2025PECOS Enrolled
1665 S GREEN ST, TUPELO, MS 38804(662) 377-2189 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raven S Eldridge NPPES

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

RAVEN S ELDRIDGE (NPI 1013703016) is an individual student in an organized health care education/training program in Tupelo, Mississippi and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013703016
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRAVEN S ELDRIDGE
Location Address1665 S GREEN STTupelo, MS 38804-6556
Mailing Address1665 S Green StTupelo, MS 38804-6556
Phone(662) 377-2189
Sole ProprietorNo
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1013703016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1665 S GREEN ST, Tupelo, MS 38804
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raven S Eldridge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

YONG SEOK CHANG DO
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189
TERRY RAY PERRINE MD
Family Medicine
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189
SIMRANJIT KAUR
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189
DR. LUKE JAMESON CAMPBELL M.D.
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189
CHADWICK SCOTT HICKMAN D.O.
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 251-1040
JOHN EDWARD HILL MD
Family Medicine
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189
HANNAH SONI DO
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189
VICTORIA SCHROCK DO
Student in an Organized Health Care Education/Training Program
1665 S GREEN ST
TUPELO, MS 38804
Lee County (662) 377-2189

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raven Eldridge's NPI number?

The NPI number for Raven Eldridge is 1013703016. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Raven Eldridge located?

Raven Eldridge practices at 1665 S Green St, Tupelo, MS 38804. The listed phone number is (662) 377-2189.

What is Raven Eldridge's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Raven Eldridge enrolled in Medicare?

Yes. Raven Eldridge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raven Eldridge was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.