PRISCILLA ELIZABETH PULLIAM N.P.
NPI 1114975505
Nurse Practitioner in Jackson, MS
About Priscilla Elizabeth Pulliam N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRISCILLA ELIZABETH PULLIAM N.P. (NPI 1114975505) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (865613) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Simpson General Hospital Cah, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Priscilla Elizabeth Pulliam N.p. 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 Reassignments
5Medicare enrollment records show Priscilla Pulliam reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Jackson, MS 39204
- Reassigned Medicare billing, Mississippi enrollment
- 187 clinicians in this Medicare group
Morton, MS 39117
- Reassigned Medicare billing, Mississippi enrollment
- Also billed through NPI 1306909734 (Mississippi)
- 94 clinicians in this Medicare group
Grenada, MS 38901
- Reassigned Medicare billing, Mississippi enrollment
- 83 clinicians in this Medicare group
Booneville, MS 38829
- Reassigned Medicare billing, Mississippi enrollment
- 95 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.
Areas of Expertise CMS Part B claims 2
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Simpson General Hospital Cah
Critical Access Hospitals · Mendenhall, MSHolmes County Hospital And Clinics
Critical Access Hospitals · Lexington, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39232 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLOWOOD, MS 39232
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 Priscilla Pulliam's NPI number?
The NPI number for Priscilla Pulliam is 1114975505. It was assigned to this individual provider in the NPPES registry on May 5, 2006.
Where is Priscilla Pulliam located?
Priscilla Pulliam practices at 1030 River Oaks Dr, Jackson, MS 39232. The listed phone number is (601) 924-3719.
What is Priscilla Pulliam's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Priscilla Pulliam enrolled in Medicare?
Yes. Priscilla Pulliam 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 organizations bill Medicare for Priscilla Pulliam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priscilla Pulliam reassigns Medicare benefits to 5 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), App Of Mississippi Ed, LLC (Jackson, MS), Independent Healthcare Management, Inc. (Morton, MS), Grenada Emergency Group, LLC (Grenada, MS) and United Emergency Services, Inc. (Booneville, MS). Each 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 Priscilla Pulliam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priscilla Pulliam accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Priscilla Pulliam 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 Priscilla Pulliam affiliated with any hospitals?
According to CMS data, Priscilla Pulliam is affiliated with Simpson General Hospital Cah and Holmes County Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Priscilla Pulliam was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Priscilla Elizabeth Pulliam, N.P. · NPI 1114975505
Nurse Practitioner physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since May 5, 2006.
## Identity
- **NPI:** 1114975505 (Entity type: Individual)
- **Enumerated:** May 5, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 865613 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1030 RIVER OAKS DR, Jackson, MS 39232-9553
- **Phone:** (601) 924-3719
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1477734689, Jackson, MS); App Of Mississippi Ed, LLC (NPI 1730687740, Jackson, MS); Independent Healthcare Management, Inc. (NPI 1952694994, Morton, MS); Grenada Emergency Group, LLC (NPI 1194388082, Grenada, MS); United Emergency Services, Inc. (NPI 1326007915, Booneville, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** May 23, 2023
- **Other identifiers:** Medicaid 07338051 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1114975505) · Data from the CMS NPPES public registry.