MR. NATHAN TYLER ROSS (MHPP) – Clinical Neuropsychologist, NPI 1295150175
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
118 CLINICAL PSYCHOLOGIST in AR
Provider Addresses for MR. NATHAN TYLER ROSS (MHPP)
400 LLAMA
SEARCY, AR 72143
Phone:
Type: Mailing
1815 PLEASANT GROVE ROAD
JONESBORO, AR 72804
Phone: (870) 933-6886
Fax: (870) 933-9395
Type: Location
504 CLINTON CENTER DR STE 4300
CLINTON, MS 390565610
Phone: (601) 815-2005
Fax: (601) 815-0434
Type: Mailing
2500 N STATE ST
JACKSON, MS 392164500
Phone: (601) 815-2005
Fax: (601) 496-9452
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-09-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220928000725 | I | Clinical Psychologist | MS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 206 | 30 | $0 |
| 96116 | Exam of neurobehavioral status, first hour | 63 | 63 | $0 |
| 96121 | Exam of neurobehavioral status, each additional hour | 45 | 45 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 40 | 37 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 32 | 25 | $0 |
Insurance plans in this area (ZIP 72143)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Neurology, Pediatric Medicine | LA | |
| Emergency Medicine | MS | |
| N E U R O S U R G E R Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| - | MS | |
| General Surgery | MS | |
| - | MS | |
| Diagnostic Radiology | IN | |
| Geriatric Medicine | MS | |
| - | MS |
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