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MRS. AUDREY DALE ETHRIDGE PMHNP-BC, MSN
NPI 1982484416
Nurse Practitioner - Psychiatric/Mental Health in Tupelo, MS

Active since October 02, 2023PECOS EnrolledAccepts Medicare Assignment
777 HOLLY HILL DR, TUPELO, MS 38801(662) 432-1221(888) 836-0702 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Audrey Dale Ethridge Pmhnp-bc, Msn NPPES

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

MRS. AUDREY DALE ETHRIDGE PMHNP-BC, MSN (NPI 1982484416) is an individual psychiatric/mental health provider in Tupelo, Mississippi, licensed in Mariana Islands (2023001592) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1982484416
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. AUDREY DALE ETHRIDGECredential: PMHNP-BC, MSN
Location Address777 HOLLY HILL DRTupelo, MS 38801-2340
Mailing Address777 Holly Hill DrTupelo, MS 38801-2340 · (662) 432-1221 · Fax (888) 836-1221
Phone(662) 432-1221
Fax(888) 836-0702
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 2, 2023
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1982484416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MP · 2023001592
777 HOLLY HILL DR, Tupelo, MS 38801
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.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. Audrey Dale Ethridge Pmhnp-bc, Msn 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 ID5597203307
PECOS Enrollment IDI20240812002247
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 38801 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 3

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

RH ARISE VENTURE OF TUPELO LLC
Psychiatry & Neurology (Psychiatry)
777 HOLLY HILL DR
TUPELO, MS 38801
Lee County (662) 432-1221
LAUREN NICOLE CARTER
Nurse Practitioner (Psychiatric/Mental Health)
777 HOLLY HILL DR
TUPELO, MS 38801
Lee County (662) 432-1221
MRS. RUTH BIBEAU APRN
Nurse Practitioner (Psychiatric/Mental Health)
777 HOLLY HILL DR
TUPELO, MS 38801
Lee County (662) 432-1221

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 Audrey Ethridge's NPI number?

The NPI number for Audrey Ethridge is 1982484416. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Where is Audrey Ethridge located?

Audrey Ethridge practices at 777 Holly Hill Dr, Tupelo, MS 38801. The listed phone number is (662) 432-1221.

What is Audrey Ethridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Audrey Ethridge enrolled in Medicare?

Yes. Audrey Ethridge 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 Audrey Ethridge accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Audrey Ethridge 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 Audrey Ethridge was last updated on January 30, 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.