CANON JADE BEISSEL (MD) – Nephrology Physician, NPI 1154483394

CANON JADE BEISSEL (MD) is a healthcare provider. based in Grenada, Mississippi. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 16518 (MS). The NPI Number for CANON JADE BEISSEL (MD) is 1154483394

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
CANON JADE BEISSEL (MD)
NPI
1154483394
Phone
(662) 226-8229
Address
35 W MONROE ST
Enumeration Date
14 December 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
6622265112
Graduation Year
1998 (28 years ago)
PAC ID
3274604376
Group Practice PAC ID
4486098555
Professional Enrollment ID
I20080617000689
Address ID
MS389015222GR35XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

119 NEPHROLOGY in MS

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Provider Addresses for CANON JADE BEISSEL (MD)

  • 35, West Monroe Street, Grenada, Grenada County, Mississippi, 38901, United States

    GRENADA, MS 389015222

    Phone: (662) 226-8229

    Fax: (662) 226-3300

    Type: Location

  • Grenada Post Office, Corporate Row, Grenada, Grenada County, Mississippi, 38901, United States

    GRENADA, MS 389021041

    Phone: (662) 226-9866

    Fax: (662) 453-4546

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $590.

Total Amount is formed as General ($590) + Research ($0) + Ownership ($0) = $590.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($211).

Total Amount

$590

General + Research + Ownership

Payments

29

Total payment records

General Amount

$590

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2008-06-17

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080617000689INephrologyMSTBD

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
90960Dialysis services, 4 or more physician visits per month (20 years or older)63194$0
99213Established patient office or other outpatient visit, 20-29 minutes191162$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14482$0
90935Hemodialysis procedure with physician evaluation13838$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12164$0
View full utilization report →

Insurance plans in this area (ZIP 38901)

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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: 4486098555View full group profile
NameSpecialtyState
Nurse PractitionerMS
N E P H R O L O G YMS
N E P H R O L O G YMS

Reviews

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Frequently asked questions

What is the standard ID for CANON JADE BEISSEL (MD) in the U.S.?
In the U.S., CANON JADE BEISSEL (MD) is identified by NPI 1154483394.
Quick check: is CANON JADE BEISSEL (MD) active?
Public NPPES data shows CANON JADE BEISSEL (MD) with an active NPI status right now.
What type of care does CANON JADE BEISSEL (MD) provide?
CANON JADE BEISSEL (MD)'s profile centers on Nephrology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to CANON JADE BEISSEL (MD)?
The directory associates CANON JADE BEISSEL (MD) with Grenada, Mississippi. Check all listed addresses for suites or satellite offices.
Why is information missing for CANON JADE BEISSEL (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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