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Individual provider Active NPI

Stephanie N Nguyen, NP

  • Family Nurse Practitioner
  • Ocean Springs, MS
National Provider Identifier
1003500216
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905913 Issued in MS
Practice address
3704 Bienville Blvd Ste B
Ocean Springs, MS 39564-5710
Phone
(228) 872-4040
Fax
(228) 872-3612
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905913 MS Primary

Addresses

Primary practice location

3704 Bienville Blvd Ste B
Ocean Springs, MS 39564-5710

Mailing address

3704 Bienville Blvd Ste B
Ocean Springs, MS 39564-5710
Phone (228) 872-4040

Other practice location 1

4300 Hospital St Ste 102
Pascagoula, MS 39581-5308
Phone (228) 762-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215000981 MS Practitioner - Nurse Practitioner 5496104432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

4603 Hospital St
Pascagoula, MS 39581-5337
Phone (228) 822-6040

Hospital & facility affiliations

  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Ms Heart Center,PA CurrentSince Jun 19, 2023 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Southern Ms Heart Center,PA Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Aug 1, 2024 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Aug 1, 2024 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

3704 Bienville Blvd
#B
Ocean Springs, MS 39564
Phone (228) 872-4040

3616 Hospital St
Pascagoula, MS 39581
Phone (228) 762-1002

4603 Hospital St
Pascagoula, MS 39581
Phone (228) 762-1002

4300 Hospital St
Ste 102
Pascagoula, MS 39581
Phone (228) 372-8270

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 60

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 60

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1003500216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 BIENVILLE BLVD STE B",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645710",
            "telephone_number": "228-872-4040",
            "fax_number": "228-872-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 BIENVILLE BLVD STE B",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645710",
            "telephone_number": "228-872-4040",
            "fax_number": "228-872-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Hospital St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395815308",
            "country_code": "US",
            "telephone_number": "228-762-1002",
            "fax_number": "228-762-1012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "STEPHANIE",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.