NPIMap

Individual provider Active NPI

Richard McMullan, NP

  • Acute Care Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1033973359
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
906506 Issued in MS
Practice address
15190 Community Rd Ste 260
Gulfport, MS 39503-3471
Phone
(228) 575-8020
NPI assigned
Feb 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 906506 MS
Acute Care Nurse Practitioner 363LA2100X 906506 MS Primary

Addresses

Primary practice location

15190 Community Rd Ste 260
Gulfport, MS 39503-3471

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

Other practice location 2

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

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
I20240316000472 MS Practitioner - Nurse Practitioner 0345686028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Ms Heart Center,PA CurrentSince Mar 1, 2024 Accepting new patients
Southern Ms Heart Center,PA CurrentSince Mar 1, 2024 Accepting new patients
Memorial Hospital at Gulfport 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

147 Reynoir St
Ste 307
Biloxi, MS 39530
Phone (228) 435-0100

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 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1033973359",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 COMMUNITY RD STE 260",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033471",
            "telephone_number": "228-575-8020"
        }
    ],
    "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",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3704 Bienville Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395645710",
            "country_code": "US",
            "telephone_number": "228-872-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMULLAN",
        "first_name": "RICHARD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-09-03",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "MS",
            "license": "906506",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "906506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.