BETTY ANN DOBBS, APRN — NPI 1558022665 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric

CMS-1500 Box 24J / 33a • NPI

1558022665

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LP0808X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health

Box 32 Service Location & ZIP+4

1030 WEST MAIN STREET, ACKERMAN, MS, 39772

Official NPPES Practice Location

Practice Phone & Referral Fax

(662) 705-3239

Fax: (662) 705-8795

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1558022665 (BETTY ANN DOBBS, APRN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1558022665` (NPI-1 Individual Practitioner)
Provider / Legal Name	BETTY ANN DOBBS, APRN
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health NUCC Code: `363LP0808X` (Nurse Practitioner, Psych/Mental Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1030 WEST MAIN STREET, ACKERMAN, MS, 39772
Practice Telephone / Fax	Tel: (662) 705-3239 \| Fax: (662) 705-8795
Administrative Mailing Address	1030 WEST MAIN ST, ACKERMAN, MS, 39735
Enumeration & Last Sync	Enumerated: 2022-01-02 \| CMS Record Updated: 2024-08-26

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1030 WEST MAIN STREET, ACKERMAN, MS, 39772

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Plain-English Taxonomy & CMS Crosswalk (363LP0808X)

What Does Taxonomy Code 363LP0808X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP0808X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Psych/Mental Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BETTY ANN DOBBS, APRN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LC1500X` — Nurse Practitioner, Community Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Community Health	State: MS \| License: `905147` \| Primary: Secondary
`363LP2300X` — Nurse Practitioner, Primary Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care	State: MS \| License: `905147` \| Primary: Secondary
`363LP0808X` — Nurse Practitioner, Psych/Mental Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health	State: MS \| License: `905147` \| Primary: Yes (Primary)
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: MS \| License: `R876207` \| Primary: Secondary
`163WC1500X` — Registered Nurse, Community Health Plain English: Licensed & Credentialed Registered Nurse, Community Health	State: MS \| License: `R876207` \| Primary: Secondary
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner	State: MS \| License: `905147` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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BETTY ANN DOBBS, APRN (NPI #1558022665)