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JERRY C COLLADO CFNP
NPI 1407081862
Nurse Practitioner - Family in Ridgeland, MS

Active since May 28, 2009PECOS Enrolled
6919 OLD CANTON RD, RIDGELAND, MS 39157(601) 956-0911(601) 957-8439 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jerry C Collado Cfnp NPPES

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

JERRY C COLLADO CFNP (NPI 1407081862) is an individual family provider in Ridgeland, Mississippi, licensed in Mississippi (R862534) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407081862
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJERRY C COLLADOCredential: CFNP
Location Address6919 OLD CANTON RDRidgeland, MS 39157-1268
Mailing Address2500 North State Street, Jmm Suite 2525Jackson, MS 39216-4500 · (601) 815-9528 · Fax (601) 984-6439
Phone(601) 956-0911
Fax(601) 957-8439
Sole ProprietorNo
Enumeration DateMay 28, 2009
Last NPPES UpdateAugust 27, 2018
✔ NPI 1407081862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R862534
6919 OLD CANTON RD, Ridgeland, MS 39157
Open in Google Maps ↗

Other Identifiers 1

Other302I502230MS · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Cigna Healthcare, Health Advantage and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry C Collado Cfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jerry Collado reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State Of Mississippi - University Of Mississippi Medical Center
6.8 mi
End-Stage Renal Disease (ESRD) Treatment
2500 N STATE ST
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1477734689 (866) 842-7574
North Mississippi Medical Center, Inc.
101 mi
Pain Medicine
1207 HIGHWAY 182 W STE D
Starkville, MS 39759
  • Reassigned Medicare billing, Mississippi enrollment
  • 581 clinicians in this Medicare group
NPI 1205616802 (662) 498-8810

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 39157 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 5

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

JASON HICKS M.D.
Internal Medicine
6919 OLD CANTON RD
RIDGELAND, MS 39157
Madison County (601) 956-0911
SUZANNE WEBSTER CFNP
Nurse Practitioner (Family)
6919 OLD CANTON RD
RIDGELAND, MS 39157
Madison County (601) 956-0911
MANISHA SETHI M.D.
Pediatrics
6919 OLD CANTON RD
RIDGELAND, MS 39157
Madison County (601) 956-0911
INTERNAL MEDICINE & PEDIATRIC ASSOCIATES
Internal Medicine
6919 OLD CANTON RD
RIDGELAND, MS 39157
Madison County (601) 956-0911
COURTNEY REY CONVERTINO MD
Pediatrics
6919 OLD CANTON RD
RIDGELAND, MS 39157
Madison County (601) 956-0911

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 Jerry Collado's NPI number?

The NPI number for Jerry Collado is 1407081862. It was assigned to this individual provider in the NPPES registry on May 28, 2009.

Where is Jerry Collado located?

Jerry Collado practices at 6919 Old Canton Rd, Ridgeland, MS 39157. The listed phone number is (601) 956-0911.

What is Jerry Collado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jerry Collado enrolled in Medicare?

Yes. Jerry Collado is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jerry Collado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Collado reassigns Medicare benefits to 2 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS) and North Mississippi Medical Center, Inc. (Starkville, 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 Jerry Collado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Collado accept?

Health plans from Arkansas Blue Cross and Blue Shield, Cigna Healthcare, Health Advantage, Molina Healthcare and Octave list Jerry Collado 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.

When was this NPI record last updated?

The NPPES record for Jerry Collado was last updated on August 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.