MRS. ANGELIA MICHELE EASON NURSE PRACTITIONER
NPI 1114690039
Family Medicine in Rolling Fork, MS

Active since July 27, 2021PECOS EnrolledAccepts Medicare Assignment
283 W RACE ST, ROLLING FORK, MS 39159(662) 873-0477(662) 655-1236 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2022, Jul 27, 2021 (2 updates tracked since 2021).

About Mrs. Angelia Michele Eason Nurse Practitioner NPPES

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

MRS. ANGELIA MICHELE EASON NURSE PRACTITIONER (NPI 1114690039) is an individual family medicine provider in Rolling Fork, Mississippi, licensed in Mississippi (904643) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114690039
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. ANGELIA MICHELE EASONCredential: NURSE PRACTITIONER
Location Address283 W RACE STRolling Fork, MS 39159-2621
Mailing Address1668 W Peace StCanton, MS 39046-5332 · (601) 859-5213
Fax(662) 655-1236
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 27, 2021
Last NPPES UpdateApril 14, 20222 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
NPI 1114690039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MS · 904643
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

283 W RACE ST, Rolling Fork, MS 39159

Accepted Insurance

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. Angelia Michele Eason Nurse Practitioner 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 ID6406248137
PECOS Enrollment IDI20220110000880
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39159 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 4

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

Physician Assistant
283 W RACE ST
ROLLING FORK, MS 39159
Family Medicine
283 W RACE ST
ROLLING FORK, MS 39159
Clinic/Center (Multi-Specialty)
283 W RACE ST
ROLLING FORK, MS 39159
Clinic/Center (Rural Health)
283 W RACE ST
ROLLING FORK, MS 39159

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114690039, enumerated as an "individual" on July 27, 2021.

The provider is located at 283 W RACE ST ROLLING FORK, MS 39159 and the phone number is (662) 873-0477.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.