ANDREW BLAKE MCCAULLEY FNP-BC
NPI 1114530342
Nurse Practitioner - Family in Iuka, MS
About Andrew Blake Mccaulley Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW BLAKE MCCAULLEY FNP-BC (NPI 1114530342) is an individual family provider in Iuka, Mississippi, licensed in Mississippi (904105) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Booneville, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Andrew Blake Mccaulley Fnp-bc 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Memorial Hospital Booneville
Acute Care Hospitals · Booneville, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 11
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 Andrew Mccaulley's NPI number?
The NPI number for Andrew Mccaulley is 1114530342. It was assigned to this individual provider in the NPPES registry on August 27, 2020.
Where is Andrew Mccaulley located?
Andrew Mccaulley practices at 1507 W Quitman St, Iuka, MS 38852. The listed phone number is (662) 423-1000.
What is Andrew Mccaulley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Andrew Mccaulley enrolled in Medicare?
Yes. Andrew Mccaulley 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 Andrew Mccaulley affiliated with any hospitals?
According to CMS data, Andrew Mccaulley is affiliated with Baptist Memorial Hospital Booneville.
When was this NPI record last updated?
The NPPES record for Andrew Mccaulley was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Andrew Blake Mccaulley, FNP-BC · NPI 1114530342
Family physician in Iuka, Mississippi. Individual provider, active in the CMS NPPES registry since August 27, 2020.
## Identity
- **NPI:** 1114530342 (Entity type: Individual)
- **Enumerated:** August 27, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 904105 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1507 W QUITMAN ST, Iuka, MS 38852-1133
- **Phone:** (662) 423-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1114530342) · Data from the CMS NPPES public registry.