RAKEDRA FORD DNP, APRN, FNP-C
NPI 1568280436
Nurse Practitioner - Family in Canton, MS

Active since September 30, 2024PECOS EnrolledAccepts Medicare Assignment
1668 WEST PEACE STREET, P.O. BOX 588, CANTON, MS 39046(601) 859-5213(601) 859-8771 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rakedra Ford Dnp, Aprn, Fnp-c NPPES

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

RAKEDRA FORD DNP, APRN, FNP-C (NPI 1568280436) is an individual family provider in Canton, Mississippi, licensed in Mississippi (906934) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2024).

NPPES Registry Identity

NPI1568280436
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRAKEDRA FORDCredential: DNP, APRN, FNP-C
Location Address1668 WEST PEACE STREET, P.O. BOX 588Canton, MS 39046
Mailing Address125 Kendall LnCrystal Springs, MS 39059-3217
Fax(601) 859-8771
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 2024
Enumeration DateSeptember 30, 2024
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1568280436 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
Licenses✔ Licensed in MS · 906934✔ Licensed in GA · GAANP336869
1668 WEST PEACE STREET, Canton, MS 39046

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

Rakedra Ford Dnp, Aprn, Fnp-c 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 ID3072047273
PECOS Enrollment IDI20250718003728
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 Rakedra Ford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
740 E ACADEMY ST
Canton, MS 39046
  • Reassigned Medicare billing, Mississippi enrollment
  • 25 clinicians in this Medicare group
Urgent Care
1825 HIGHWAY 34 E STE 1200
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 380 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 39046 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 3

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

Family Medicine
1668 WEST PEACE STREET
CANTON, MS 39046
Clinic/Center (Federally Qualified Health Center (FQHC))
1668 WEST PEACE STREET
CANTON, MS 39046
Nurse Practitioner (Family)
1668 WEST PEACE STREET
CANTON, MS 39046

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 Rakedra Ford's NPI number?

The NPI number for Rakedra Ford is 1568280436. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Where is Rakedra Ford located?

Rakedra Ford practices at 1668 West Peace Street P.O. Box 588, Canton, MS 39046. The listed phone number is (601) 859-5213.

What is Rakedra Ford's specialty?

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

Is Rakedra Ford enrolled in Medicare?

Yes. Rakedra Ford 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 Rakedra Ford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rakedra Ford reassigns Medicare benefits to 2 organizations: G A Carmichael Family Health Center Inc (Canton, MS) and Wellstreet Of Georgia PC (Newnan, GA). 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 Rakedra Ford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rakedra Ford accept?

Health plans from Cigna Healthcare, Molina Healthcare and UnitedHealthcare list Rakedra Ford 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 Rakedra Ford was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.