ORTHO EXPRESS HOLDING COMPANY, LLC
NPI 1962029249
Nurse Practitioner in Booneville, MS

Q: What is Ortho Express Holding Company, LLC's NPI number?

The NPI number for Ortho Express Holding Company, LLC is 1962029249. It was assigned to this organization in the NPPES registry on July 2, 2020. The provider is doing business as OrthoXpress Bone & Joint Center of Booneville.

Q: What is Ortho Express Holding Company, LLC's specialty?

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

Active since July 02, 2020

608 W CHURCH ST, BOONEVILLE, MS 38829(662) 534-2227(662) 534-2330 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2025, Aug 5, 2020, Jul 31, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Ortho Express Holding Company, Llc NPPES

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

ORTHO EXPRESS HOLDING COMPANY, LLC (NPI 1962029249), doing business as Orthoxpress Bone & Joint Center Of Booneville, is a healthcare organization registered as a nurse practitioner in Booneville, Mississippi and active in the NPI registry since July 2020. The organization lists Jennifer C Bullock, President, as its authorized official.

NPPES Registry Identity

NPI1962029249

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameORTHO EXPRESS HOLDING COMPANY, LLC

Location Address608 W CHURCH STBooneville, MS 38829

Mailing Address206 Oxford RdNew Albany, MS 38652-3115 · (662) 534-2227 · Fax (662) 534-2330

Phone(662) 534-2227

Fax(662) 534-2330

Organization SubpartNo

Authorized OfficialJennifer C BullockPresident · (662) 534-2227

Enumeration DateJuly 2, 2020

Last NPPES UpdateSeptember 10, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1962029249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

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.

Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X

Also ListedPhysician AssistantTaxonomy 363A00000X

Other Names 1

Doing Business AsOrthoxpress Bone & Joint Center Of Booneville

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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ortho Express Holding Company, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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 IDO20200923001417DME · Physician - Orthopedic/Orthopedic SurgeryDue dateJanuary 31, 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 Ortho Express Holding Company, LLC's NPI number?

The NPI number for Ortho Express Holding Company, LLC is 1962029249. It was assigned to this organization in the NPPES registry on July 2, 2020. The provider is doing business as OrthoXpress Bone & Joint Center of Booneville.

Where is Ortho Express Holding Company, LLC located?

Ortho Express Holding Company, LLC is located at 608 W Church St, Booneville, MS 38829. The listed phone number is (662) 534-2227.

What is Ortho Express Holding Company, LLC's specialty?

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

Is Ortho Express Holding Company, LLC enrolled in Medicare?

Yes. Ortho Express Holding Company, LLC is registered in the Medicare PECOS enrollment system.

When is Ortho Express Holding Company, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Mississippi, Physician - Orthopedic/Orthopedic Surgery) is due for revalidation by January 31, 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.

When was this NPI record last updated?

The NPPES record for Ortho Express Holding Company, LLC was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.