MITRA GHAFARIANPOOR APRN
NPI 1952282097
Nurse Practitioner - Family in Madison, MS

Active since September 08, 2025PECOS Enrolled
129 FOUNTAINS BLVD, MADISON, MS 39110(769) 300-0730(601) 949-2782 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Sep 8, 2025 (2 updates tracked since 2025).

About Mitra Ghafarianpoor Aprn NPPES

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

MITRA GHAFARIANPOOR APRN (NPI 1952282097) is an individual family provider in Madison, Mississippi, licensed in Mississippi (907773) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1952282097
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMITRA GHAFARIANPOORCredential: APRN
Location Address129 FOUNTAINS BLVDMadison, MS 39110-6318
Mailing Address129 Fountains BlvdMadison, MS 39110-6318 · (769) 300-0730 · Fax (601) 949-2782
Fax(601) 949-2782
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 8, 2025
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
NPI 1952282097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 907773
129 FOUNTAINS BLVD, Madison, MS 39110

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mitra Ghafarianpoor Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082180963
PECOS Enrollment IDI20260417001762
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 39110 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 7

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

Pain Medicine (Interventional Pain Medicine)
129 FOUNTAINS BLVD
MADISON, MS 39110
Clinic/Center (Primary Care)
129 FOUNTAINS BLVD, SUITE 101
MADISON, MS 39110
Nurse Practitioner (Family)
129 FOUNTAINS BLVD
MADISON, MS 39110
Nurse Practitioner (Family)
129 FOUNTAINS BLVD
MADISON, MS 39110
Nurse Practitioner
129 FOUNTAINS BLVD
MADISON, MS 39110
Pain Medicine (Interventional Pain Medicine)
129 FOUNTAINS BLVD
MADISON, MS 39110
Pain Medicine (Interventional Pain Medicine)
129 FOUNTAINS BLVD, STE 201
MADISON, MS 39110

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 Mitra Ghafarianpoor's NPI number?

The NPI number for Mitra Ghafarianpoor is 1952282097. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Mitra Ghafarianpoor located?

Mitra Ghafarianpoor practices at 129 Fountains Blvd, Madison, MS 39110. The listed phone number is (769) 300-0730.

What is Mitra Ghafarianpoor's specialty?

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

Is Mitra Ghafarianpoor enrolled in Medicare?

Yes. Mitra Ghafarianpoor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mitra Ghafarianpoor was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.