STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1699857433
Nurse Practitioner in Jackson, MS
About State Of Mississippi-university Of Mississippi Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI 1699857433) is a healthcare organization registered as a nurse practitioner in Jackson, Mississippi and active in the NPI registry since October 2006. The organization lists William Kennedy, Associate Administor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
State Of Mississippi-university Of Mississippi Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,924Medicare enrollment records show 1,924 clinicians reassign Medicare billing to State Of Mississippi-University Of Mississippi Medical Center, which bills Medicare for the services they deliver. Of these, 923 practice at this address and 1,232 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 67
Nearest to this location (20)
See all 1,924Jackson, MS 39216
Jackson, MS 39216
Jackson, MS 39216
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 State Of Mississippi-University Of Mississippi Medical Center's NPI number?
The NPI number for State Of Mississippi-University Of Mississippi Medical Center is 1699857433. It was assigned to this organization in the NPPES registry on October 20, 2006.
Where is State Of Mississippi-University Of Mississippi Medical Center located?
State Of Mississippi-University Of Mississippi Medical Center is located at 2500 N State St Pfs, Jackson, MS 39216. The listed phone number is (601) 984-4619.
What is State Of Mississippi-University Of Mississippi Medical Center's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is State Of Mississippi-University Of Mississippi Medical Center enrolled in Medicare?
Yes. State Of Mississippi-University Of Mississippi Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through State Of Mississippi-University Of Mississippi Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,924 clinicians in 67 Medicare specialties reassign their Medicare billing to State Of Mississippi-University Of Mississippi Medical Center. 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. The largest specialties are Nurse Practitioner (427), Pediatric Medicine (204) and Certified Registered Nurse Anesthetist (CRNA) (155). Of these, 923 practice at this address and 1,232 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does State Of Mississippi-University Of Mississippi Medical Center accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list State Of Mississippi-University Of Mississippi Medical Center 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 State Of Mississippi-University Of Mississippi Medical Center was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# State Of Mississippi-University Of Mississippi Medical Center · NPI 1699857433
Nurse Practitioner organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since October 20, 2006.
## Identity
- **NPI:** 1699857433 (Entity type: Organization)
- **Enumerated:** October 20, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** William Kennedy, ASSOCIATE ADMINISTOR
## Practice location
- **Address:** 2500 N STATE ST, PFS, Jackson, MS 39216-4500
- **Phone:** (601) 984-4619 · **Fax:** (601) 984-4657
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,924 clinicians in 67 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (427), Pediatric Medicine (204), Certified Registered Nurse Anesthetist (CRNA) (155); 923 practice at this address and 1,232 within 10 miles; [full list](https://npiprofile.com/npi/1699857433/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2008
- **Other identifiers:** Other CH5738 (MS); Medicare ID-Type Unspecified C02587 (MS); Other =========M (MS); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1699857433) · Data from the CMS NPPES public registry.