ICP MISSISSIPPI ACO BILLING, LLC
NPI 1992389167
Clinical Nurse Specialist in Flowood, MS

Active since May 12, 2021
232 MARKET ST, FLOWOOD, MS 39232(800) 807-6555(855) 316-2999 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2025, Sep 9, 2025, May 12, 2021 (3 updates tracked since 2021).

About Icp Mississippi Aco Billing, Llc NPPES

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

ICP MISSISSIPPI ACO BILLING, LLC (NPI 1992389167) is a healthcare organization registered as a clinical nurse specialist in Flowood, Mississippi and active in the NPI registry since May 2021. The organization lists Allison Brown, Secretary, as its authorized official.

NPPES Registry Identity

NPI1992389167
Entity TypeOrganization
Primary Taxonomy364S00000X
Legal Business NameICP MISSISSIPPI ACO BILLING, LLC
Location Address232 MARKET STFlowood, MS 39232-3339
Mailing Address805 N Whittington Pkwy Ste 400Louisville, KY 40222-7102 · (502) 394-2100
Fax(855) 316-2999
Organization SubpartNo
Authorized OfficialAllison BrownSecretary · (502) 394-2100
Enumeration DateMay 12, 2021
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1992389167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
232 MARKET ST, Flowood, MS 39232

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 the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Icp Mississippi Aco Billing, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Icp Mississippi Aco Billing, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1881909125
1056 HOLLAND AVE
Philadelphia, MS 39350
(601) 656-8545
✔ PECOS✔ Accepts Medicare63 mi
Nurse Practitioner
NPI 1326565763
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 264-6000
✔ PECOS✔ Accepts Medicare82 mi
Nurse Practitioner
NPI 1619440534
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5620
✔ PECOS✔ Accepts Medicare82 mi
Nurse Practitioner
NPI 1376504357
1911 READ RD
Picayune, MS 39466
(601) 251-3500
✔ PECOS✔ Accepts Medicare126 mi
Family Practice
NPI 1184118796
1301 N 2ND ST
Booneville, MS 38829
(662) 728-2071
✔ PECOS✔ Accepts Medicare181 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Icp Mississippi Aco Billing, LLC's NPI number?

The NPI number for Icp Mississippi Aco Billing, LLC is 1992389167. It was assigned to this organization in the NPPES registry on May 12, 2021.

Where is Icp Mississippi Aco Billing, LLC located?

Icp Mississippi Aco Billing, LLC is located at 232 Market St, Flowood, MS 39232. The listed phone number is (800) 807-6555.

What is Icp Mississippi Aco Billing, LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Icp Mississippi Aco Billing, LLC enrolled in Medicare?

Yes. Icp Mississippi Aco Billing, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Icp Mississippi Aco Billing, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Icp Mississippi Aco Billing, LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Icp Mississippi Aco Billing, LLC was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.