MRS. AGNES PAMELA UPCHURCH FNP NPI 1063644599

NPI Information

  • NPI: 1063644599
  • Provider Name: MRS. AGNES PAMELA UPCHURCH, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1350 SUNSET DR
    STE B
    GRENADA, MS
    ZIP 38901
  • Phone: (662) 229-0669

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NPI Details

MRS. Agnes Pamela Upchurch, FNP is a family nurse practitioner in Grenada, MS with 16 years of experience. MRS. Agnes Pamela Upchurch, FNP NPI is 1063644599. 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:

1350 SUNSET DR
STE B
GRENADA, MS
ZIP 38901-079
Phone: (662) 229-0669
Fax: (662) 227-9929

The NPI 1063644599 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.

  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Urinalysis, manual test (HCPCS:81002)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)

The enumeration date for this NPI number is 8/17/2009 and was last updated on 2/11/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR797137MISSISSIPPIYes

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: 3/30/2025

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