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MRS. LYDIA JANE DUNGAN CRNP
NPI 1912367939
Nurse Practitioner - Acute Care in Jackson, MS

Active since March 03, 2016PECOS EnrolledAccepts Medicare Assignment
71/100
CMS Quality Rating
501 MARSHALL ST STE 104, JACKSON, MS 39202(601) 969-6404(601) 973-4541 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2022, Mar 3, 2016 (2 updates tracked since 2016).

About Mrs. Lydia Jane Dungan Crnp NPPES

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

MRS. LYDIA JANE DUNGAN CRNP (NPI 1912367939) is an individual acute care provider in Jackson, Mississippi, licensed in Mississippi (905545) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1912367939
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. LYDIA JANE DUNGANCredential: CRNP
Location Address501 MARSHALL ST STE 104Jackson, MS 39202-1663
Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401
Phone(601) 969-6404
Fax(601) 973-4541
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 3, 2016
Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1912367939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in MS · 905545✔ Licensed in AL · 1-134689
501 MARSHALL ST STE 104, Jackson, MS 39202
Open in Google Maps ↗

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 from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lydia Jane Dungan Crnp 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.

PECOS PAC ID9931490638
PECOS Enrollment IDI20221031002609
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
695 services558 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Mississippi Methodist Rehab Ctr

Acute Care Hospitals · Jackson, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number250152
Location1350 E Woodrow Wilson DrJackson, MS 39216 · Hinds County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.58
Promoting Interoperability86
Improvement Activities40
Cost58.42

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.

BRANDON LENNEP MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
501 MARSHALL ST STE 104
JACKSON, MS 39202
Hinds County (601) 969-6404
JEREMY SHANE WHITE M.D.
Internal Medicine (Interventional Cardiology)
501 MARSHALL ST STE 104
JACKSON, MS 39202
Hinds County (601) 969-6404
ANGELA SETO HUDSON FNP-C
Nurse Practitioner (Family)
501 MARSHALL ST STE 104
JACKSON, MS 39202
Hinds County (601) 969-6404
MS. TAYLOR LYNN DERRICO PA-C
Physician Assistant (Surgical)
501 MARSHALL ST STE 104
JACKSON, MS 39202
Hinds County (601) 969-6404
DR. SHANNA AMISHA TOLBERT CRAVEN DNP, ACNP-C
Nurse Practitioner (Acute Care)
501 MARSHALL ST STE 104
JACKSON, MS 39202
Hinds County (601) 969-6404
MARY ROLFE DEWEESE PA
Physician Assistant
501 MARSHALL ST STE 104
JACKSON, MS 39202
Hinds County (601) 969-6404
BENJAMIN MCGINTY CHILCUTT M.D.
Student in an Organized Health Care Education/Training Program
501 MARSHALL ST STE 104
JACKSON, MS 39202
Hinds County (601) 969-6404
CAMERON NICOLE HOWARD NP-C
Nurse Practitioner (Family)
501 MARSHALL ST STE 104
JACKSON, MS 39202
Hinds County (601) 969-6404

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 Lydia Dungan's NPI number?

The NPI number for Lydia Dungan is 1912367939. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Lydia Dungan located?

Lydia Dungan practices at 501 Marshall St Ste 104, Jackson, MS 39202. The listed phone number is (601) 969-6404.

What is Lydia Dungan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lydia Dungan enrolled in Medicare?

Yes. Lydia Dungan 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.

What insurance does Lydia Dungan accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list Lydia Dungan 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.

Is Lydia Dungan affiliated with any hospitals?

According to CMS data, Lydia Dungan is affiliated with Mississippi Baptist Medical Center and Mississippi Methodist Rehab Ctr.

When was this NPI record last updated?

The NPPES record for Lydia Dungan was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.