JESSICA RENEE FORDHAM NP
NPI 1982953402
Nurse Practitioner - Family in Jackson, MS
About Jessica Renee Fordham Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA RENEE FORDHAM NP (NPI 1982953402) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (880822) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Renee Fordham Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jessica Fordham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 69 clinicians in this Medicare group
Ridgeland, MS 39157
- Reassigned Medicare billing, Mississippi enrollment
- 4 clinicians in this Medicare group
Cambridge, MA 02139
- Reassigned Medicare billing, Mississippi enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Jessica Fordham's NPI number?
The NPI number for Jessica Fordham is 1982953402. It was assigned to this individual provider in the NPPES registry on August 29, 2012.
Where is Jessica Fordham located?
Jessica Fordham practices at 3800 I-55 North Frontage Rd Suite 101, Jackson, MS 39216. The listed phone number is (601) 200-6880.
What is Jessica Fordham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Fordham enrolled in Medicare?
Yes. Jessica Fordham is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jessica Fordham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Fordham reassigns Medicare benefits to 3 organizations: River Oaks Management Company LLC (Flowood, MS), Innovative Behaviorals Services, Inc. (Ridgeland, MS) and Consumer Health Advocacy, Inc. (Cambridge, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Fordham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Fordham accept?
Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Jessica Fordham 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 Jessica Fordham was last updated on December 22, 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.
# Jessica Renee Fordham, NP · NPI 1982953402
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since August 29, 2012.
## Identity
- **NPI:** 1982953402 (Entity type: Individual)
- **Enumerated:** August 29, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 880822 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 3800 I-55 NORTH FRONTAGE RD, SUITE 101, Jackson, MS 39216
- **Phone:** (601) 200-6880 · **Fax:** (601) 200-6805
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): River Oaks Management Company LLC (NPI 1134465172, Flowood, MS); Innovative Behaviorals Services, Inc. (NPI 1578578092, Ridgeland, MS); Consumer Health Advocacy, Inc. (NPI 1821889924, Cambridge, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2022
- **Other identifiers:** Medicaid 007388276 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1982953402) · Data from the CMS NPPES public registry.