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Ann C Oliver , APRN

Nurse Practitioner β€’ Jackson, MS

Active NPI 1811865728 Individual Practitioner Accepts Medicare assignment
Practice location in NPPES

969 Lakeland Dr
Jackson, MS 392164606

Call 6012003631 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

969 Lakeland Dr

Jackson, MS 392164606

Telephone 6012003631
Fax 6012000159
Organization at the Same NPPES Address or Phone
Jpa Pathology, P.a. Facility NPI 1104824309

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: St. Dominic Jackson Memorial. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Industry payments (Open Payments)

Fewer than 11 payment records totaling $27.00 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ann Oliver has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Ann Oliver as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Mississippi

168 active clinicians are listed under Nurse Practitioner with a practice address in Jackson, MS (1,078 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

5.4% of these 168 clinicians have the CMS telehealth indicator.

60.1% of these 168 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $27.00.

Manufacturer Payment Nature Product Type Amount ($)
Biogen, Inc.
Food and Beverage
In-kind items and services
VUMERITY General $27.00

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-16
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MS 905922

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Mississippi State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20251219002099

Enrollment State Jurisdiction

MS

PECOS Control ID

8921593625

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

St. Dominic Jackson Memorial

969 Lakeland Dr, Jackson, MS 392164606

Phone: 6013646175

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Casey Baine , ACAGNP

Nurse Practitioner - Acute Care

NPI 1245835263
Kristen Boggs , NP

Nurse Practitioner

NPI 1831841725

Nurse Practitioner

Latasha Collins , CFNP

Nurse Practitioner - Family

NPI 1780089649
Kristen Degelman

Nurse Practitioner - Family

NPI 1437694320
Kodi Jackson , PA

Physician Assistant

NPI 1588373716

Physician Assistant

Kristen Mckay , NP

Nurse Practitioner - Family

NPI 1972236719

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address November 10, 2025

Registered at 5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 708166038 (Tel: 6012003631)

βœ…
NPI Profile Active November 03, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 03, 2025

Registered at 969 LAKELAND DR, JACKSON, MS 392164606 (Tel: 6012002000)

πŸ“
Business Mailing Address (Initial Record) November 03, 2025

Registered at 25 HIGHLAND MEADOWS DR, JACKSON, MS 392115950 (Tel: 6019273635)

πŸ‘€
Provider Name / Credentials (Initial Record) November 03, 2025

Recorded as ANN OLIVER, APRN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2025

Nurse Practitioner (license number reported to NPPES: MS 905922)

🟒
Initial NPI Registration & Enumeration October 23, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811865728
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2025
Last Update: January 16, 2026
Sole Proprietor: No

Other Nurse Practitioners in Jackson

All Nurse Practitioners in Jackson

Mailing Address

5959 S Sherwood Forest Blvd

Baton Rouge, LA 708166038

Phone: 6012003631

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.