LAURIE SELMAN NIMON NP
NPI 1265712145
Nurse Practitioner - Family in Jackson, MS
About Laurie Selman Nimon Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURIE SELMAN NIMON NP (NPI 1265712145) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R878233) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Laurie Selman Nimon Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Laurie Nimon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 12 clinicians in this Medicare group
Ruleville, MS 38771
- Reassigned Medicare billing, Mississippi enrollment
- 12 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSON, MS 39202
JACKSON, MS 39202
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 Laurie Nimon's NPI number?
The NPI number for Laurie Nimon is 1265712145. It was assigned to this individual provider in the NPPES registry on August 23, 2011. The provider is also known as Laurie Selman Np.
Where is Laurie Nimon located?
Laurie Nimon practices at 501 Marshall St Suite 600, Jackson, MS 39202. The listed phone number is (601) 948-6540.
What is Laurie Nimon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Laurie Nimon enrolled in Medicare?
Yes. Laurie Nimon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Laurie Nimon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laurie Nimon reassigns Medicare benefits to 2 organizations: Revitalize Hydration Therapy, LLC (Flowood, MS) and North Sunflower Medical Center (Ruleville, 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 Laurie Nimon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Laurie Nimon was last updated on September 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Laurie Selman Nimon, NP · NPI 1265712145
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since August 23, 2011.
## Identity
- **NPI:** 1265712145 (Entity type: Individual)
- **Enumerated:** August 23, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R878233 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 MARSHALL ST, SUITE 600, Jackson, MS 39202-1651
- **Phone:** (601) 948-6540 · **Fax:** (601) 326-1501
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Revitalize Hydration Therapy, LLC (NPI 1285261123, Flowood, MS); North Sunflower Medical Center (NPI 1548581184, Ruleville, MS) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1265712145) · Data from the CMS NPPES public registry.