Cynthia Lynn Bean
Individual provider Active NPI Nurse Practitioner · Laurel, MS
NPI 1003405754 · NPPES record last updated Apr 19, 2024
Key facts
- NPI
- 1003405754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 904340 (MS)
- Practice address
- 1203 Jefferson St
Laurel, MS 39440-4354 - Phone
- (601) 649-2863
- NPI assigned
- Jan 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Foundation Inc
Practice addresses (Care Compare)
1800 12TH St
Meridian, MS 39301-4158
Phone (601) 484-6700
Hospital & facility affiliations
- Ochsner Rush Hospital
- Ochsner Laird Hospital
- Anderson Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210217001147 | MS | Practitioner - Nurse Practitioner | 4587079975 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 904340 | MS | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush Medical Foundation | Current | Accepting new patients | |
| Rush Medical Foundation | Current |
Accepting new patients | |
| Rush Medical Foundation | Current |
Accepting new patients | |
| South Central Clinics, Inc | Current | Accepting new patients |
Locations
1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553
1203 Jefferson St
Laurel, MS 39440
Phone (601) 579-5488
1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
1800 12th St
Meridian, MS 39301
Phone (601) 483-0011
603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123
605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 904340 | MS | Yes |
Addresses
Primary practice location
1203 Jefferson St
Laurel, MS 39440-4354
Mailing address
PO Box 247
Laurel, MS 39441-0247
Phone (601) 425-7550
Other providers in Laurel, MS
- Brittany Barry
- Madelyn A Baucum
- Jessica Bayless
- Thomas B Baylis
- Sarah Lauren Bayouth-McIntyre
- Walter Lee Beard Jr.
- James Michael Beasley
- Jason M. Beddingfield
- Marsadie Charee Bell
- Kyle Bellamy
All providers in Laurel, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.