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MRS. AGNES PAMELA UPCHURCH FNP
NPI 1063644599
Nurse Practitioner - Family in Grenada, MS

Active since August 17, 2009PECOS EnrolledAccepts Medicare Assignment
1350 SUNSET DR, STE B, GRENADA, MS 38901(662) 229-0669(662) 227-9929 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1063644599
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AGNES PAMELA UPCHURCHCredential: FNP
Location Address1350 SUNSET DR, STE BGrenada, MS 38901-4079
Mailing Address1350 Sunset Dr, Ste BGrenada, MS 38901-4079 · (662) 229-0669 · Fax (662) 227-9929
Phone(662) 229-0669
Fax(662) 227-9929
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 17, 2009
Last NPPES UpdateFebruary 11, 2020
✔ NPI 1063644599 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 · R797137
1350 SUNSET DR, Grenada, MS 38901
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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 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.

PECOS PAC ID2961830005
PECOS Enrollment IDI20200324000563
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.

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.

Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
683 services122 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
290 services144 patients
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.
182 services104 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
173 services75 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
126 services101 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.
122 services88 patients

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, MS
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number250168
Location960 Avent DriveGrenada, MS 38901 · Grenada County
Emergency services Birthing friendly

Physician 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.

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

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

FAMILY CANCER CENTER, PLLC
Specialist
1350 SUNSET DR, SUITE B
GRENADA, MS 38901
Grenada County (866) 357-7738

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.

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.