1. Home
  2. Directory
  3. Mississippi
  4. Starkville
  5. Nurse Practitioner
  6. NPI Profile

ORTHO EXPRESS HOLDING COMPANY LLC
NPI 1710545439
Nurse Practitioner in Starkville, MS

Active since May 29, 2019
823 HIGHWAY 12 W STE C, STARKVILLE, MS 39759(662) 338-0123(662) 534-2330 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2025, Jul 26, 2024, Mar 7, 2024 and 5 more (8 updates tracked since 2019).

About Ortho Express Holding Company Llc NPPES

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

ORTHO EXPRESS HOLDING COMPANY LLC (NPI 1710545439), doing business as Orthoxpress Of Starkville, is a healthcare organization registered as a nurse practitioner in Starkville, Mississippi and active in the NPI registry since May 2019. The organization lists Jennifer C Bullock, President, as its authorized official.

NPPES Registry Identity

NPI1710545439
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameORTHO EXPRESS HOLDING COMPANY LLC
Location Address823 HIGHWAY 12 W STE CStarkville, MS 39759-3593
Mailing Address206 Oxford RdNew Albany, MS 38652-3115 · (662) 534-2227 · Fax (662) 534-2330
Phone(662) 338-0123
Fax(662) 534-2330
Organization SubpartYes
Authorized OfficialJennifer C BullockPresident · (662) 534-2298
Enumeration DateMay 29, 2019
Last NPPES UpdateSeptember 10, 20258 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1710545439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPhysician AssistantTaxonomy 363A00000X

Other Names 1

Doing Business AsOrthoxpress Of Starkville

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ortho Express Holding Company Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20200916002281DME · Nurse PractitionerDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Orthoxpress Of Starkville carries, from the Medicare DMEPOS supplier directory.

Orthoxpress Of Starkville

DMEPOS supplier · Starkville, MSOperated by Ortho Express Holding Company LLC
✔

Accepts Medicare assignment

Orthoxpress Of Starkville agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20413787
Medicare Participant SinceJune 1, 2020
Supplier Location823 Highway 12 W Ste CStarkville, MS 39759
Phone(662) 338-0123
Provider TypeNurse Practitioner

Medicare Product Categories

Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

WECARE HEALTH CLINIC
Nurse Practitioner (Family)
823 HIGHWAY 12 W STE C
STARKVILLE, MS 39759
Oktibbeha County (662) 268-8221
MRS. TIFFINE LYNN PRISOCK FNP-C
Nurse Practitioner (Family)
823 HIGHWAY 12 W STE C
STARKVILLE, MS 39759
Oktibbeha County (662) 338-0123

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 Ortho Express Holding Company LLC's NPI number?

The NPI number for Ortho Express Holding Company LLC is 1710545439. It was assigned to this organization in the NPPES registry on May 29, 2019. The provider is doing business as OrthoXpress of Starkville.

Where is Ortho Express Holding Company LLC located?

Ortho Express Holding Company LLC is located at 823 Highway 12 W Ste C, Starkville, MS 39759. The listed phone number is (662) 338-0123.

What is Ortho Express Holding Company LLC's specialty?

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

Is Ortho Express Holding Company LLC enrolled in Medicare?

Yes. Ortho Express Holding Company LLC is registered in the Medicare PECOS enrollment system.

When is Ortho Express Holding Company LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Mississippi, Nurse Practitioner) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Ortho Express Holding Company LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Orthoxpress Of Starkville accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Ortho Express Holding Company LLC was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.