JAMIE VICE FORTNER FNP
NPI 1992139976
Nurse Practitioner - Family in Oxford, MS

Q: What is Jamie Fortner's NPI number?

The NPI number for Jamie Fortner is 1992139976. It was assigned to this individual provider in the NPPES registry on August 27, 2013.

Q: What is Jamie Fortner's specialty?

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

Q: Is Jamie Fortner enrolled in Medicare?

No. Jamie Fortner has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jamie Fortner was last updated on August 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 27, 2013Opted out of Medicare · through Jul 1, 2028

1203 MEDICAL PARK DR, OXFORD, MS 38655(662) 513-4399(662) 513-4330 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jamie Vice Fortner Fnp NPPES

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

JAMIE VICE FORTNER FNP (NPI 1992139976) is an individual family provider in Oxford, Mississippi, licensed in Mississippi (R878817) and active in the NPI registry since August 2013. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992139976

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJAMIE VICE FORTNERCredential: FNP

Location Address1203 MEDICAL PARK DROxford, MS 38655-5327

Mailing Address1203 Medical Park DrOxford, MS 38655-5327 · (662) 513-4399 · Fax (662) 513-4330

Phone(662) 513-4399

Fax(662) 513-4330

Sole ProprietorNo

Enumeration DateAugust 27, 2013

Last NPPES UpdateAugust 28, 2014

✔ NPI 1992139976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R878817

Also ListedPediatricsTaxonomy 208000000X · License F0613716 (MS)

1203 MEDICAL PARK DR, Oxford, MS 38655

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Jamie Vice Fortner Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38655 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.

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Other Providers at the Same Location NPPES 15

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

RHAGEN NELSON

Nurse Practitioner (Psychiatric/Mental Health)