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MISS DENNETTA DELORISE PARKER FNP
NPI 1629477690
Nurse Practitioner - Family in Pearl, MS

Active since August 15, 2014PECOS EnrolledAccepts Medicare Assignment
4635 HIGHWAY 80 E, PEARL, MS 39208(601) 936-3833 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miss Dennetta Delorise Parker Fnp NPPES

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

MISS DENNETTA DELORISE PARKER FNP (NPI 1629477690) is an individual family provider in Pearl, Mississippi, licensed in Mississippi (R870784) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1629477690
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS DENNETTA DELORISE PARKERCredential: FNP
Location Address4635 HIGHWAY 80 EPearl, MS 39208-4226
Mailing Address353 Kings Ridge CircleBrandon, MS 39047 · (601) 500-2838
Phone(601) 936-3833
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 15, 2014
Last NPPES UpdateDecember 8, 2014
✔ NPI 1629477690 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 · R870784
4635 HIGHWAY 80 E, Pearl, MS 39208
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Molina Healthcare.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

Miss Dennetta Delorise Parker 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 ID2264752187
PECOS Enrollment IDI20150518000170
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

3

Medicare enrollment records show Dennetta Parker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Health Care Clinic, Inc.
Same address
Federally Qualified Health Center (FQHC)
4635 HIGHWAY 80 E
Pearl, MS 39208
  • Reassigned Medicare billing, Mississippi enrollment
  • 70 clinicians in this Medicare group
NPI 1043236326 (601) 936-3833
App Of Mississippi Ed, LLC
11 mi
Emergency Medicine
1850 CHADWICK DR
Jackson, MS 39204
  • Reassigned Medicare billing, Mississippi enrollment
  • 187 clinicians in this Medicare group
NPI 1730687740 (629) 203-7320
Jackson Hb Medical Services LLC
11 mi
Emergency Medicine
1850 CHADWICK DR
Jackson, MS 39204
  • Reassigned Medicare billing, Mississippi enrollment
  • 99 clinicians in this Medicare group
NPI 1184305856 (601) 376-2832

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 39208 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 7

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

FAMILY HEALTH CARE CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4635 HIGHWAY 80 E
PEARL, MS 39208
Rankin County (601) 936-3833
ESQUANICKIA C FLETCHER FNP-BC
Nurse Practitioner (Family)
4635 HIGHWAY 80 E
PEARL, MS 39208
Rankin County (601) 933-2500
CANDANCE CHILDRESS NURSE PRACTITIONER
Nurse Practitioner (Family)
4635 HIGHWAY 80 E
PEARL, MS 39208
Rankin County (601) 825-7280
MRS. VENTASHA S PARKER
Nurse Practitioner
4635 HIGHWAY 80 E
PEARL, MS 39208
Rankin County (601) 936-3833
MONIQUE PENDLETON
Nurse Practitioner (Family)
4635 HIGHWAY 80 E
PEARL, MS 39208
Rankin County (601) 502-3009
MRS. EUREKIA C SAMUEL NP
Nurse Practitioner (Family)
4635 HIGHWAY 80 E
PEARL, MS 39208
Rankin County (601) 936-3833
FAMILY HEALTH CARE CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4635 HIGHWAY 80 E
JACKSON, MS 39208
Rankin County (601) 825-7280

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 Dennetta Parker's NPI number?

The NPI number for Dennetta Parker is 1629477690. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Where is Dennetta Parker located?

Dennetta Parker practices at 4635 Highway 80 E, Pearl, MS 39208. The listed phone number is (601) 936-3833.

What is Dennetta Parker's specialty?

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

Is Dennetta Parker enrolled in Medicare?

Yes. Dennetta Parker 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 Dennetta Parker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dennetta Parker reassigns Medicare benefits to 3 organizations: Family Health Care Clinic, Inc. (Pearl, MS), App Of Mississippi Ed, LLC (Jackson, MS) and Jackson Hb Medical Services LLC (Jackson, 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 Dennetta Parker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dennetta Parker accept?

Health plans from Cigna Healthcare and Molina Healthcare list Dennetta Parker 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 Dennetta Parker was last updated on December 8, 2014. 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.