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
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Andrew Mccaulley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Parsons, TN 38363
- Reassigned Medicare billing, Mississippi enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 12
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.
Which organization bills Medicare for Andrew Mccaulley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Mccaulley reassigns Medicare benefits to Truhealth, LLC (Parsons, TN). 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 Andrew Mccaulley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Mccaulley accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Andrew Mccaulley 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.
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 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.
# 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
- **Bills Medicare through:** Truhealth, LLC (NPI 1063843951, Parsons, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **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.