STEPHANIE FARRIOR (AGNP) – Adult Health Nurse Practitioner, NPI 1093358905

STEPHANIE FARRIOR (AGNP) is a healthcare provider. based in Jackson, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP. They hold a License No. 903446 (MS). The NPI Number for STEPHANIE FARRIOR (AGNP) is 1093358905

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE FARRIOR (AGNP)
NPI
1093358905
Phone
(601) 354-4488
Address
1325 E FORTIFICATION ST
Enumeration Date
23 October 2019
Last Update Date
19 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6017073737
Graduation Year
2019 (7 years ago)
PAC ID
8022444637
Group Practice PAC ID
0547427858
Professional Enrollment ID
I20200130000500
Address ID
MS391577701RI1051XPKWY402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for STEPHANIE FARRIOR (AGNP)

  • 1325 E FORTIFICATION ST

    JACKSON, MS 392022442

    Phone: (601) 354-4488

    Type: Mailing

  • University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States

    JACKSON, MS 392164500

    Phone: (601) 984-5700

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $629.

Total Amount is formed as General ($629) + Research ($0) + Ownership ($0) = $629.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($159).

Total Amount

$629

General + Research + Ownership

Payments

14

Total payment records

General Amount

$629

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-01-30

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200130000500INurse PractitionerMSTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes129113$0
J1100Injection, dexamethasone sodium phosphate, 1 mg10419$0
99214Established patient office or other outpatient visit, 30-39 minutes9694$0
J0696Injection, ceftriaxone sodium, per 250 mg8622$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus6968$0
View full utilization report →

Insurance plans in this area (ZIP 39202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547427858View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
-MS
Nurse PractitionerMS
Nurse PractitionerMO
Nurse PractitionerMS
Nurse PractitionerMS
-MS
Nurse PractitionerMS

Reviews

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Frequently asked questions

Does STEPHANIE FARRIOR (AGNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — STEPHANIE FARRIOR (AGNP) uses 1093358905.
Can I rely on STEPHANIE FARRIOR (AGNP) being an active provider?
As of the registry snapshot, STEPHANIE FARRIOR (AGNP) is marked active.
What is STEPHANIE FARRIOR (AGNP)'s primary classification?
Adult Health Nurse Practitioner is the headline specialty for STEPHANIE FARRIOR (AGNP) here. Clinical services aligned with this taxonomy classification.
Where should I expect STEPHANIE FARRIOR (AGNP) on a map?
Expect Jackson, Mississippi as a primary anchor for STEPHANIE FARRIOR (AGNP) unless the record lists multiple sites.
Is the information about STEPHANIE FARRIOR (AGNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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