Provider Type Icon

TRACY B RHINEWALT MSN FNP BC NPI 1285967547


NPI Information

NPI: 1285967547
Provider Name: TRACY B RHINEWALT, MSN FNP BC
Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Individual

Specialization: Family Health

PECOS Registration: Yes

Address:
971 LAKELAND DR
SUITE 657
JACKSON, MS
ZIP 39216
Phone: (601) 200-2780
Get Directions

Tracy B Rhinewalt, MSN FNP BC is a family health clinical nurse specialist in Jackson, MS. Tracy B Rhinewalt, MSN FNP BC NPI is 1285967547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

971 LAKELAND DR
SUITE 657
JACKSON, MS
ZIP 39216-643
Phone: (601) 200-2780
Fax: (601) 200-2788

The NPI 1285967547 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter (HCPCS:G0431)

The enumeration date for this NPI number is 9/17/2009 and was last updated on 3/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyR865510MISSISSIPPINo
2364SF0001XClinical Nurse SpecialistFamily HealthR865510MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
108227549MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.