ESSENTIAL SCHOOL BASED HEALTH CLINIC
NPI 1417740580
Nurse Practitioner in Rosedale, MS

Active since May 22, 2025
909 HIGHWAY 8, ROSEDALE, MS 38769(662) 449-6570 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2026, Jun 3, 2026, Jun 9, 2025 and 1 more (4 updates tracked since 2025).

About Essential School Based Health Clinic NPPES

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

ESSENTIAL SCHOOL BASED HEALTH CLINIC (NPI 1417740580) is a healthcare organization registered as a nurse practitioner in Rosedale, Mississippi and active in the NPI registry since May 2025. The organization lists Yolanda Murry, Owner, as its authorized official.

NPPES Registry Identity

NPI1417740580
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameESSENTIAL SCHOOL BASED HEALTH CLINIC
Location Address909 HIGHWAY 8Rosedale, MS 38769-2300
Mailing AddressPo Box 16Rosedale, MS 38769-0016 · (662) 449-6570 · Fax (662) 510-8586
Organization SubpartNo
Authorized OfficialYolanda MurryOwner · (662) 347-1953
Enumeration DateMay 22, 2025
Last NPPES UpdateAugust 6, 20264 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1417740580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
909 HIGHWAY 8, Rosedale, MS 38769

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Essential School Based Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Essential School Based Health Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1295016400
5842 GOODMAN RD STE 1
Horn Lake, MS 38637
(662) 510-8566
✔ PECOS✔ Accepts Medicare93 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Essential School Based Health Clinic's NPI number?

The NPI number for Essential School Based Health Clinic is 1417740580. It was assigned to this organization in the NPPES registry on May 22, 2025.

Where is Essential School Based Health Clinic located?

Essential School Based Health Clinic is located at 909 Highway 8, Rosedale, MS 38769. The listed phone number is (662) 449-6570.

What is Essential School Based Health Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Essential School Based Health Clinic enrolled in Medicare?

Yes. Essential School Based Health Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Essential School Based Health Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Essential School Based Health Clinic. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Essential School Based Health Clinic was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.