JADE BOULTON APRN
NPI 1760218630
Nurse Practitioner - Family in Southaven, MS
About Jade Boulton Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JADE BOULTON APRN (NPI 1760218630) is an individual family provider in Southaven, Mississippi, licensed in Tennessee (36838) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Jade Boulton Aprn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jade Boulton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Southaven, MS 38671
- Reassigned Medicare billing, Mississippi enrollment
- 5 clinicians in this Medicare group
Hammond, LA 70403
- Reassigned Medicare billing, Arkansas, Mississippi and Tennessee enrollments
- 17 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 38671 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
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 Jade Boulton's NPI number?
The NPI number for Jade Boulton is 1760218630. It was assigned to this individual provider in the NPPES registry on September 9, 2024. The provider is also known as Jade Vo Rn.
Where is Jade Boulton located?
Jade Boulton practices at 7900 Airways Blvd Ste 6, Southaven, MS 38671. The listed phone number is (662) 470-7554.
What is Jade Boulton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jade Boulton enrolled in Medicare?
Yes. Jade Boulton 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 Jade Boulton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jade Boulton reassigns Medicare benefits to 2 organizations: Trm Endovascular & Wound Care Services LLC (Southaven, MS) and Wound Care Associates LLC (Hammond, LA). 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 Jade Boulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jade Boulton accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Jade Boulton 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 Jade Boulton was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.
# Jade Boulton, APRN · NPI 1760218630
Family physician in Southaven, Mississippi. Individual provider, active in the CMS NPPES registry since September 9, 2024.
## Identity
- **NPI:** 1760218630 (Entity type: Individual)
- **Enumerated:** September 9, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 36838 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 7900 AIRWAYS BLVD STE 6, Southaven, MS 38671-4113
- **Phone:** (662) 470-7554
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Trm Endovascular & Wound Care Services LLC (NPI 1629800412, Southaven, MS); Wound Care Associates LLC (NPI 1568793750, Hammond, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2024
## Record status
- **NPPES last updated:** October 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760218630) · Data from the CMS NPPES public registry.