MEDICARE: ONTRAK MEDICAL SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LF0000X	Family Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1356180772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONTRAK MEDICAL SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1004
Second Line	:
City	:	WINONA
State	:	MS
Zip	:	38967-1004
Country	:	US
Telephone Number	:	662-417-8278
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 SUMMIT ST
Second Line	:
City	:	WINONA
State	:	MS
Zip	:	38967-2234
Country	:	US
Telephone Number	:	662-417-8278
Fax Number	:

Authorized Official
Title or Position	:	FNP-BC, PMHNP-BC
Name	:	DR. KATHERINE WARD HUGHES
Credential	:	DOCTOR OF NURSING PR
Telephone Number	:	662-417-8278

Provider Enumeration Date	:	05/23/2024
Last Update Date	:	03/28/2025

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