Individual provider

Lydia Dungan, CRNP

Acute Care Nurse Practitioner Medicare enrolled

Lydia Dungan, CRNP is an Acute Care Nurse Practitioner in Jackson, MS, registered under NPI 1912367939.

Getting there

The practice address on file is 501 MARSHALL ST STE 104, Jackson, MS 39202. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

501 MARSHALL ST STE 104, Jackson, MS 39202 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
905545 MS Acute Care Nurse Practitioner primary
1-134689 AL Acute Care Nurse Practitioner

Licences are recorded in 2 states: MS, AL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
9931490638
Enrollment ID
I20221031002609

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Alabama and Mississippi. The practice address on file is in Jackson, MS, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AL Alabama
Licence
1-134689
Specialty
Acute Care Nurse Practitioner
Verify with the AL board →
MS Mississippi practice address
Licence
905545
Specialty
Acute Care Nurse Practitioner
Verify with the MS board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Acute Care covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2100X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Acute Care

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LA2100X Acute Care Nurse Practitioner Acute Care 905545 MS primary
363LA2100X Acute Care Nurse Practitioner Acute Care 1-134689 AL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1912367939 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 3, 2016
Last updatedSep 23, 2022
StatusActive
Sole proprietorNo
CredentialCRNP
Practice address 501 MARSHALL ST STE 104
Jackson, MS 39202
(601) 969-6404
Fax (601) 973-4541
Mailing address 965 RIDGE LAKE BLVD STE 315
Memphis, TN 38120
The last update on file is Sep 23, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1912367939 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 1 2 3 6 7 9 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 2 2 6 6 5 9 6

Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1912367939?
NPI 1912367939 is the National Provider Identifier assigned to Lydia Dungan, CRNP in Jackson, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Acute Care cover?
Definition to come...
How do I contact Lydia Dungan, CRNP?
The phone number on file with NPPES is (601) 969-6404, last updated Sep 23, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Lydia Dungan, CRNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1912367939 a valid number?
Yes. 1912367939 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.