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ORTHOTIC & PROSTHETIC SOLUTIONS LLC
NPI 1962014100
Prosthetic/Orthotic Supplier in Jackson, MS

Active since August 19, 2020
1050 N FLOWOOD DR STE B4, JACKSON, MS 39232(769) 777-7440(985) 256-2599 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2026, Sep 6, 2023, Aug 27, 2020 and 1 more (4 updates tracked since 2020).

About Orthotic & Prosthetic Solutions Llc NPPES

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

ORTHOTIC & PROSTHETIC SOLUTIONS LLC (NPI 1962014100) is a healthcare organization registered as a prosthetic/orthotic supplier in Jackson, Mississippi and active in the NPI registry since August 2020. The organization lists Dandre Shondale Mostella, Owner, as its authorized official.

NPPES Registry Identity

NPI1962014100
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameORTHOTIC & PROSTHETIC SOLUTIONS LLC
Location Address1050 N FLOWOOD DR STE B4Jackson, MS 39232-9738
Mailing Address7754 Florida BlvdBaton Rouge, LA 70806-4706 · (225) 243-9736 · Fax (985) 256-2599
Phone(769) 777-7440
Fax(985) 256-2599
Organization SubpartNo
Authorized OfficialDandre Shondale MostellaOwner · (256) 458-6071
Enumeration DateAugust 19, 2020
Last NPPES UpdateJune 5, 20264 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1962014100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Also ListedSpecialist · Prosthetics Case ManagementTaxonomy 1744P3200X
Also ListedOrthotistTaxonomy 222Z00000X
Also ListedProsthetistTaxonomy 224P00000X
1050 N FLOWOOD DR STE B4, Jackson, MS 39232
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Other Identifiers 1

Other1143MS · 1143

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 MULTIPLE SINGLE 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 revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orthotic & Prosthetic Solutions Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20200824000608DME · Prosthetic PersonnelDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 Orthotic & Prosthetic Solutions LLC's NPI number?

The NPI number for Orthotic & Prosthetic Solutions LLC is 1962014100. It was assigned to this organization in the NPPES registry on August 19, 2020.

Where is Orthotic & Prosthetic Solutions LLC located?

Orthotic & Prosthetic Solutions LLC is located at 1050 N Flowood Dr Ste B4, Jackson, MS 39232. The listed phone number is (769) 777-7440.

What is Orthotic & Prosthetic Solutions LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Is Orthotic & Prosthetic Solutions LLC enrolled in Medicare?

Yes. Orthotic & Prosthetic Solutions LLC is registered in the Medicare PECOS enrollment system.

When is Orthotic & Prosthetic Solutions LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Mississippi, Prosthetic Personnel) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Orthotic & Prosthetic Solutions 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 4 other insurers list Orthotic & Prosthetic Solutions 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 Orthotic & Prosthetic Solutions LLC was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.