ANGIE S HARAWAY NP-C
NPI 1790876928
Nurse Practitioner in Jackson, MS

Q: What is Angie Haraway's NPI number?

The NPI number for Angie Haraway is 1790876928. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Angie Haraway's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angie Haraway was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 26, 2006PECOS Enrolled

971 LAKELAND DR, SUITE 657, JACKSON, MS 39216(601) 200-5955(601) 200-5957 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Angie S Haraway Np-c NPPES

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

ANGIE S HARAWAY NP-C (NPI 1790876928) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (R862590) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790876928

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANGIE S HARAWAYCredential: NP-C

Location Address971 LAKELAND DR, SUITE 657Jackson, MS 39216-4643

Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-4749 · Fax (601) 200-5929

Phone(601) 200-5955

Fax(601) 200-5957

Sole ProprietorNo

Enumeration DateSeptember 26, 2006

Last NPPES UpdateMay 5, 2016

✔ NPI 1790876928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · R862590

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.

971 LAKELAND DR, Jackson, MS 39216

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angie S Haraway Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

$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 20

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

BEN W. SEALE, M.D., PLLC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

971 LAKELAND DR, SUITE 450
JACKSON, MS 39216

Hinds County (601) 948-5158

EDWIN P SUDDUTH M.D.

Anesthesiology

971 LAKELAND DR, SUITE 202
JACKSON, MS 39216

Hinds County (601) 362-1990

JACKSON GYNECOLOGIC ONCOLOGY PLLC

Obstetrics & Gynecology (Gynecology)

971 LAKELAND DR, STE 750
JACKSON, MS 39216

Hinds County (601) 987-3033

D TIMOTHY CANNON M.D.

Specialist

971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216

Hinds County (601) 981-9503

JAMIE DOUGLAS MCCOLLUM M.D.

Anesthesiology

971 LAKELAND DR, SUIITE 202
JACKSON, MS 39216

Hinds County (601) 362-1990

DAVID WESTBROOK M.D.

Specialist

971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216

Hinds County (601) 981-9503

MS. JACQUELINE M. ROBINSON MS, CCC-A; F/AAA

Audiologist

971 LAKELAND DR, SUITE 854
JACKSON, MS 39216

Hinds County (601) 981-2825

MRS. KRISTIE CALLAHAN FNP-C

Nurse Practitioner (Family)

971 LAKELAND DR, SUITE 557
JACKSON, MS 39216

Hinds County (601) 200-4560

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 Angie Haraway's NPI number?

The NPI number for Angie Haraway is 1790876928. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Angie Haraway located?

Angie Haraway practices at 971 Lakeland Dr Suite 657, Jackson, MS 39216. The listed phone number is (601) 200-5955.

What is Angie Haraway's specialty?

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

Is Angie Haraway enrolled in Medicare?

Yes. Angie Haraway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angie Haraway was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.