INNOVATIVE HEALTHCARE MANAGEMENT LLC
NPI 1861622722
Nurse Practitioner - Family in Mccomb, MS

Q: What is Innovative Healthcare Management LLC's NPI number?

The NPI number for Innovative Healthcare Management LLC is 1861622722. It was assigned to this organization in the NPPES registry on July 24, 2009.

Q: What is Innovative Healthcare Management LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since July 24, 2009

3078 HIGHWAY 98 E, MCCOMB, MS 39648(601) 205-9994(480) 478-0633 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Innovative Healthcare Management Llc NPPES

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

INNOVATIVE HEALTHCARE MANAGEMENT LLC (NPI 1861622722) is a healthcare organization registered as a family in Mccomb, Mississippi and active in the NPI registry since July 2009. The organization maintains a secondary practice location in Phoenix and lists Katrina Maria Dryer, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1861622722

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameINNOVATIVE HEALTHCARE MANAGEMENT LLC

Location Address3078 HIGHWAY 98 EMccomb, MS 39648-8267

Mailing AddressPo Box 2049Mccomb, MS 39649-2049 · (480) 478-0520 · Fax (480) 478-0633

Phone(601) 205-9994

Fax(480) 478-0633

Organization SubpartNo

Authorized OfficialKatrina Maria DryerNurse Practitioner · (480) 478-0520

Enumeration DateJuly 24, 2009

Last NPPES UpdateAugust 13, 2024

NPPES CertifiedAugust 13, 2024

✔ NPI 1861622722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

3078 HIGHWAY 98 E, Mccomb, MS 39648

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Secondary Practice Location 1

Location 120860 N Tatum Blvd Ste 300Phoenix, AZ 85050-4283 · Phone (480) 478-0520 · Fax (480) 478-0633

Other Identifiers 2

Medicaid320915AZ

OtherZ131830AZ · Medicare Ptan

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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)

Innovative Healthcare Management Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Innovative Healthcare Management LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Katrina Dryer, NP

Nurse Practitioner

NPI 1124068952

14911 N 75TH DR
Peoria, AZ 85381

(601) 940-2570

✔ PECOS✔ Accepts Medicare1,284 mi

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 Innovative Healthcare Management LLC's NPI number?

The NPI number for Innovative Healthcare Management LLC is 1861622722. It was assigned to this organization in the NPPES registry on July 24, 2009.

Where is Innovative Healthcare Management LLC located?

Innovative Healthcare Management LLC is located at 3078 Highway 98 E, Mccomb, MS 39648. The listed phone number is (601) 205-9994.

What is Innovative Healthcare Management LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Innovative Healthcare Management LLC enrolled in Medicare?

Yes. Innovative Healthcare Management LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Healthcare Management LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Innovative Healthcare Management LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Innovative Healthcare Management LLC 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 Innovative Healthcare Management LLC 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 Innovative Healthcare Management LLC was last updated on August 13, 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.