JESSICA CLARK MILLS FNP
NPI 1205355765
Nurse Practitioner in Louisville, MS

Active since September 15, 2017PECOS EnrolledAccepts Medicare Assignment
16569 W MAIN ST, LOUISVILLE, MS 39339(662) 773-5704(662) 773-9463 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 4, 2023, Mar 17, 2018, Sep 15, 2017 (3 updates tracked since 2017).

About Jessica Clark Mills Fnp NPPES

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

JESSICA CLARK MILLS FNP (NPI 1205355765) is an individual nurse practitioner in Louisville, Mississippi, licensed in Mississippi (R902312) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Winston Medical Center & Swingbed, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205355765
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA CLARK MILLSCredential: FNP
Location Address16569 W MAIN STLouisville, MS 39339-2647
Mailing AddressPo Box 470Louisville, MS 39339-0470 · (662) 773-5704 · Fax (662) 773-9463
Fax(662) 773-9463
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 15, 2017
Last NPPES UpdateJanuary 4, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
NPI 1205355765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MS · R902312
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 902312 (MS)
16569 W MAIN ST, Louisville, MS 39339

Other Identifiers 1

Medicaid002487838MS

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

Jessica Clark Mills 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 ID6901162585
PECOS Enrollment IDI20171115000690
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winston Medical Center & Swingbed

Acute Care Hospitals · Louisville, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number250027
Location17550 East Main StreetLouisville, MS 39339 · Winston County
Emergency services

Och Regional Medical Center

Acute Care Hospitals · Starkville, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250050
Location400 Hospital Road /Mail Po Box 1506Starkville, MS 39759 · Oktibbeha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39339 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.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients

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.

Clinic/Center (Rural Health)
16569 W MAIN ST
LOUISVILLE, MS 39339
Nurse Practitioner (Family)
16569 W MAIN ST
LOUISVILLE, MS 39339
Nurse Practitioner
16569 W MAIN ST
LOUISVILLE, MS 39339
Family Medicine
16569 W MAIN ST
LOUISVILLE, MS 39339

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205355765, enumerated as an "individual" on September 15, 2017.

The provider is located at 16569 W MAIN ST LOUISVILLE, MS 39339 and the phone number is (662) 773-5704.

Nurse Practitioner with taxonomy code 363L00000X.

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

Jessica Mills is affiliated with: WINSTON MEDICAL CENTER & SWINGBED and OCH REGIONAL MEDICAL CENTER.