TERESA RAYBOURN FNP-BC
NPI 1992782304
Nurse Practitioner - Family in Collins, MS

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
3248 HIGHWAY 49, COLLINS, MS 39428(601) 765-6834(601) 765-6837 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 16, 2026, Oct 14, 2016 (2 updates tracked since 2016).

About Teresa Raybourn Fnp-bc NPPES

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

TERESA RAYBOURN FNP-BC (NPI 1992782304) is an individual family provider in Collins, Mississippi, licensed in Mississippi (R746931) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Covington County Hospital Cah, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1992782304
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERESA RAYBOURNCredential: FNP-BC
Location Address3248 HIGHWAY 49Collins, MS 39428-3877
Mailing AddressPo Box 24116Jackson, MS 39225-4116 · (601) 825-7280 · Fax (601) 825-8130
Fax(601) 765-6837
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 28, 2005
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1992782304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R746931
3248 HIGHWAY 49, Collins, MS 39428

Other Names 1

Other Name (5)Teresa Holifield Fnp-bc

Other Identifiers 2

OtherP00872423MS · Railroad Medicare
Medicaid00119934MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teresa Raybourn Fnp-bc 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 ID244289528
PECOS Enrollment IDI20050113000268
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Teresa Raybourn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
3248 HIGHWAY 49
Collins, MS 39428
  • Reassigned Medicare billing, Mississippi enrollment
  • 4 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
381 OLD WILLIAMSBURG ROAD
Bassfield, MS 39421
  • Reassigned Medicare billing, Mississippi enrollment
  • 70 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Covington County Hospital Cah

Critical Access Hospitals · Collins, MS
OwnershipGovernment - Local
CMS Certification Number251325
Location701 South Holly AvenueCollins, MS 39428 · Covington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39428 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

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

Nurse Practitioner
3248 HIGHWAY 49
COLLINS, MS 39428

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 Teresa Raybourn's NPI number?

The NPI number for Teresa Raybourn is 1992782304. It was assigned to this individual provider in the NPPES registry on December 28, 2005. The provider is also known as Teresa Holifield Fnp-Bc.

Where is Teresa Raybourn located?

Teresa Raybourn practices at 3248 Highway 49, Collins, MS 39428. The listed phone number is (601) 765-6834.

What is Teresa Raybourn's specialty?

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

Is Teresa Raybourn enrolled in Medicare?

Yes. Teresa Raybourn 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.

Which organizations bill Medicare for Teresa Raybourn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Raybourn reassigns Medicare benefits to 2 organizations: Pine Ridge Family Clinic, LLC (Collins, MS) and Family Health Care Clinic, Inc. (Bassfield, MS). 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 Teresa Raybourn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Raybourn accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list Teresa Raybourn 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.

Is Teresa Raybourn affiliated with any hospitals?

According to CMS data, Teresa Raybourn is affiliated with Covington County Hospital Cah.

When was this NPI record last updated?

The NPPES record for Teresa Raybourn was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.