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ALYSSA CAMERON WHITEHEAD FNP
NPI 1043616543
Nurse Practitioner - Family in Louisville, MS

Active since November 10, 2014PECOS Enrolled
2750 N CHURCH AVE, LOUISVILLE, MS 39339(662) 446-9012(662) 446-9432 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alyssa Cameron Whitehead Fnp NPPES

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

ALYSSA CAMERON WHITEHEAD FNP (NPI 1043616543) is an individual family provider in Louisville, Mississippi, licensed in Mississippi (R866227) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043616543
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALYSSA CAMERON WHITEHEADCredential: FNP
Location Address2750 N CHURCH AVELouisville, MS 39339-2054
Mailing Address2750 N Church AveLouisville, MS 39339-2054 · (662) 446-9012 · Fax (662) 446-9432
Phone(662) 446-9012
Fax(662) 446-9432
Sole ProprietorYes
Enumeration DateNovember 10, 2014
Last NPPES UpdateJune 10, 2020
NPPES CertifiedJune 10, 2020
✔ NPI 1043616543 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 · R866227
2750 N CHURCH AVE, Louisville, MS 39339
Open in Google Maps ↗

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 (PECOS)

Alyssa Cameron Whitehead Fnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alyssa Whitehead reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State Of Mississippi - University Of Mississippi Medical Center
43 mi
Rural Health
18295 EMORY ROAD
West, MS 39192
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1194738393 (662) 834-1321
App Of Mississippi Ed, LLC
90 mi
Emergency Medicine
1850 CHADWICK DR
Jackson, MS 39204
  • Reassigned Medicare billing, Mississippi enrollment
  • 187 clinicians in this Medicare group
NPI 1730687740 (629) 203-7320

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39339 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.

Other Providers at the Same Location NPPES 2

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

CHRIST UNITED MEDICAL CLINIC LLC
Family Medicine
2750 N CHURCH AVE
LOUISVILLE, MS 39339
Winston County (662) 446-9012
MIDTOWN MEDICAL AND WELLNESS, LLC
Clinic/Center (Primary Care)
2750 N CHURCH AVE
LOUISVILLE, MS 39339
Winston County (662) 446-9432

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 Alyssa Whitehead's NPI number?

The NPI number for Alyssa Whitehead is 1043616543. It was assigned to this individual provider in the NPPES registry on November 10, 2014.

Where is Alyssa Whitehead located?

Alyssa Whitehead practices at 2750 N Church Ave, Louisville, MS 39339. The listed phone number is (662) 446-9012.

What is Alyssa Whitehead's specialty?

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

Is Alyssa Whitehead enrolled in Medicare?

Yes. Alyssa Whitehead is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alyssa Whitehead's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Whitehead reassigns Medicare benefits to 2 organizations: State Of Mississippi - University Of Mississippi Medical Center (West, MS) and App Of Mississippi Ed, LLC (Jackson, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alyssa Whitehead's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alyssa Whitehead accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Alyssa Whitehead as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alyssa Whitehead was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.