Mrs Jessica Braddock Childs, AGNP - Medicare Nurse Practitioner in Tupelo, MS

Mrs Jessica Braddock Childs, AGNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Tupelo, Mississippi. Her current practice location is 1265 Cliff Gookin Blvd, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 407-2544.

Mrs Jessica Braddock Childs is licensed to practice in Mississippi (license number 905426) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467095869.

Contact Information

Mrs Jessica Braddock Childs, AGNP
1265 Cliff Gookin Blvd,
Tupelo, MS 38801-6749
(662) 407-2544
(662) 620-9915

Map and Direction




Provider's Profile

Full NameMrs Jessica Braddock Childs
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location1265 Cliff Gookin Blvd, Tupelo, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467095869
  • Provider Enumeration Date: 10/18/2019
  • Last Update Date: 10/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2567839103
  • Enrollment ID: I20221110001174

Medical Identifiers

Medical identifiers for Mrs Jessica Braddock Childs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467095869NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R874853 (Mississippi)Secondary
363LA2200XNurse Practitioner - Adult Health 905426 (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jessica Braddock Childs allows following entities to bill medicare on her behalf.
Entity NameTupelo Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396783916
PECOS PAC ID: 2769482439
Enrollment ID: O20070102000397

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jessica Braddock Childs is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jessica Braddock Childs, AGNP
1265 Cliff Gookin Blvd,
Tupelo, MS 38801-6749

Ph: (662) 407-2544
Mrs Jessica Braddock Childs, AGNP
1265 Cliff Gookin Blvd,
Tupelo, MS 38801-6749

Ph: (662) 407-2544

Reviews and Comments


Nurse Practitioner Nurses in Tupelo, MS

Nicole Sherice Taylor, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 845 South Gloster Street, Tupelo, MS 38801
Phone: 662-377-5930    
Mrs. Rebecca Perry Ward, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4381 South Eason Blvd, Longtown Medical Park, Tupelo, MS 38801
Phone: 662-377-7354    Fax: 662-377-5301
Ms. Wanda Ikeda, ACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801
Phone: 662-620-6800    Fax: 662-377-2403
Mrs. Tina King, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1573 Medical Park Cir, Tupelo, MS 38801
Phone: 662-844-9885    Fax: 662-842-1350
Anna Danielle Woodruff, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 499 Gloster Creek Vlg Ste H3, Tupelo, MS 38801
Phone: 662-840-6026    Fax: 662-840-6030
Jennifer L Taylor, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 205-412-0585    
Kalisa Mickell, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 662-377-3000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.