Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346297090 Individual Practitioner Female Practitioner

Vicky Dianne Minninger , CFNP

Nurse Practitioner • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Vicky Minninger, CFNP is a registered healthcare professional specializing in Nurse Practitioner in Jackson, MS. Practice services are available at 2500 N STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2500 N State St

Jackson, MS 392164500

Telephone 6019846525
Fax 6019846764
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
169 Specialists

Practicing in Jackson, MS (1098 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS R638633

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MS R638633

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0118842 (MS)
Medicaid State Provider ID
105774 (AL)
Commercial Insurance / Payer ID Railroad
500005456 (MS)
Commercial Insurance / Payer ID Up Medicare
512G700003

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Dr. Scott Glenzer , MD

Student in an Organized Health Care Education/Training Program

NPI 1043742547

Doctor of Medicine (M.D.)

Latoya Braylock

Orthopaedic Surgery

NPI 1063805778
Memory Lofton , FNP

Nurse Practitioner

NPI 1114688199

Family Nurse Practitioner

Dr. Kevin Purcell , MD

Orthopaedic Surgery

NPI 1124556881

Doctor of Medicine (M.D.)

Dr. E Ward , MD

Orthopaedic Surgery

NPI 1174742688

Doctor of Medicine (M.D.)

Dr. Patrick Bergin , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1194962944

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 10, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2010

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019846525)

📍
Updated Business Mailing Address August 10, 2010

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019846525)

👤
Provider Name / Credentials Updated August 10, 2010

Recorded as VICKY MINNINGER, CFNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2010

Nurse Practitioner (License #R638633 in MS)

🟢
Initial NPI Registration & Enumeration May 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346297090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2006
Last Update: August 10, 2010
Sole Proprietor: No

Mailing Address

2500 N State St

Jackson, MS 392164500

Phone: 6019846525

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.