MRS. AGNES PAMELA UPCHURCH FNP
NPI 1063644599
Nurse Practitioner - Family in Grenada, MS
About Mrs. Agnes Pamela Upchurch Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AGNES PAMELA UPCHURCH FNP (NPI 1063644599) is an individual family provider in Grenada, Mississippi, licensed in Mississippi (R797137) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Medical Center- Grenada, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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. Agnes Pamela Upchurch 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.
Medicare Billing Reassignment
Medicare enrollment records show Agnes Upchurch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grenada, MS 38901
- Reassigned Medicare billing, Mississippi enrollment
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 12
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Mississippi Medical Center- Grenada
Acute Care Hospitals · Grenada, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Agnes Upchurch's NPI number?
The NPI number for Agnes Upchurch is 1063644599. It was assigned to this individual provider in the NPPES registry on August 17, 2009.
Where is Agnes Upchurch located?
Agnes Upchurch practices at 1350 Sunset Dr Ste B, Grenada, MS 38901. The listed phone number is (662) 229-0669.
What is Agnes Upchurch's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Agnes Upchurch enrolled in Medicare?
Yes. Agnes Upchurch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Agnes Upchurch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Agnes Upchurch reassigns Medicare benefits to H & P Investors, LLC (Grenada, MS). The 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 Agnes Upchurch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Agnes Upchurch affiliated with any hospitals?
According to CMS data, Agnes Upchurch is affiliated with University Of Mississippi Medical Center- Grenada.
When was this NPI record last updated?
The NPPES record for Agnes Upchurch was last updated on February 11, 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.
# Mrs. Agnes Pamela Upchurch, FNP · NPI 1063644599
Family physician in Grenada, Mississippi. Individual provider, active in the CMS NPPES registry since August 17, 2009.
## Identity
- **NPI:** 1063644599 (Entity type: Individual)
- **Enumerated:** August 17, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R797137 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1350 SUNSET DR, STE B, Grenada, MS 38901-4079
- **Phone:** (662) 229-0669 · **Fax:** (662) 227-9929
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** H & P Investors, LLC (NPI 1902010218, Grenada, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1063644599) · Data from the CMS NPPES public registry.