HOLLY HUTCHESON PA
NPI 1669832150
Physician Assistant in Jackson, MS

Active since February 26, 2016PECOS EnrolledAccepts Medicare Assignment
90.59/100
CMS Quality Rating
969 LAKELAND DR, JACKSON, MS 39216(601) 200-4644(601) 200-4645 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 7, 2023, Apr 20, 2021, Mar 21, 2016 and 1 more (4 updates tracked since 2016).

About Holly Hutcheson Pa NPPES

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

HOLLY HUTCHESON PA (NPI 1669832150) is an individual physician assistant in Jackson, Mississippi, licensed in New Jersey (25MP00630300) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Van Wert, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669832150
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHOLLY HUTCHESONCredential: PA
Location Address969 LAKELAND DRJackson, MS 39216-4606
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-4749 · Fax (601) 200-5929
Fax(601) 200-4645
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 26, 2016
Last NPPES UpdateMarch 21, 20244 updates tracked since enumeration
NPPES CertifiedMarch 21, 2024
NPI 1669832150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NJ · 25MP00630300 Licensed in NY · 024962 Licensed in MS · PA00282 Licensed in OH · 50.004776RX Licensed in MI · 5601009916
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
969 LAKELAND DR, Jackson, MS 39216

Secondary Practice Location 1

Location 11250 S Washington StVan Wert, OH 45891-2551 · Phone (240) 686-2300

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Holly Hutcheson Pa 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 ID1951609460
PECOS Enrollment IDI20240319002967
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
141 services139 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
71 services71 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
25 services25 patients
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less 12001
This is a procedure to fix a minor wound on your scalp, neck, underarms, trunk, arms, or legs that is 2.5 cm or less. It involves cleaning, and then stitching or gluing the wound to help it heal properly and minimize scarring.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.26
Promoting Interoperability100
Improvement Activities40
Cost67.03

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.

Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216

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 Holly Hutcheson's NPI number?

The NPI number for Holly Hutcheson is 1669832150. It was assigned to this individual provider in the NPPES registry on February 26, 2016.

Where is Holly Hutcheson located?

Holly Hutcheson practices at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 200-4644.

What is Holly Hutcheson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Holly Hutcheson enrolled in Medicare?

Yes. Holly Hutcheson 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.

What insurance does Holly Hutcheson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Quartz list Holly Hutcheson 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 Holly Hutcheson was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.