NPIMap

Individual provider Active NPI

Faith Anne Pearson Crosby, CNP

  • Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1043977507
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
904986 Issued in MS
Practice address
394 Courthouse Rd Ste a
Gulfport, MS 39507-1866
Phone
(228) 896-4417
Fax
(228) 604-0121
NPI assigned
Nov 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 904986 MS Primary

Addresses

Primary practice location

394 Courthouse Rd Ste a
Gulfport, MS 39507-1866

Mailing address

PO Box 1810
Gulfport, MS 39502-1810
Phone (228) 575-1194

Other names 1

  • Faith Anne Pearson Former name

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
I20211220001342 MS Practitioner - Nurse Practitioner 8325439755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
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)

12261 Hwy 49
Gulfport, MS 39503-2975
Phone (228) 867-5185

1340 Broad Ave
Gulfport, MS 39501-2460

1440 Central Ave E
Wiggins, MS 39577-9602
Phone (601) 928-6700

1756 Popps Ferry Rd
Biloxi, MS 39532-2118

27368 J P Ladner Rd
Suite 3
Pass Christian, MS 39571-9082
Phone (228) 575-1476

371 Courthouse Rd
Gulfport, MS 39507-1889
Phone (228) 575-1333

45000 E Aloha Dr
Suite a
Diamondhead, MS 39525-3373
Phone (228) 822-6006

5120 Beatline Rd
Long Beach, MS 39560-3815

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904986MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Health Care , LLC CurrentSince Sep 1, 2022 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Dec 13, 2021 Accepting new patients
Memorial Hospital at Gulfport Nurse Practitioner CurrentSince Dec 13, 2021 Accepting new patients
Conx Care Corporation Past Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

1756 Popps Ferry Rd
Ste A
Biloxi, MS 39532
Phone (228) 865-3200

45000 E Aloha Dr
Ste A
Diamondhead, MS 39525
Phone (228) 822-6006

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

394 Courthouse Rd
Ste A
Gulfport, MS 39507
Phone (228) 896-4414

1391 Broad Ave
Ste A
Gulfport, MS 39501
Phone (228) 669-6328

15 Keystone Dr
Ste E
Hattiesburg, MS 39402
Phone (601) 606-6326

300 Cahal St
Hattiesburg, MS 39401
Phone (601) 582-9157

27368 J P Ladner Rd
Ste 3
Pass Christian, MS 39571
Phone (228) 575-1476

1428 Azalea Dr S
Wiggins, MS 39577
Phone (601) 928-9674

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: fcrosby@direct.mhg.com
  • FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4

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": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1043977507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395021810",
            "telephone_number": "228-575-1194",
            "fax_number": "228-575-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 COURTHOUSE RD STE A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071866",
            "telephone_number": "228-896-4417",
            "fax_number": "228-604-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON CROSBY",
        "first_name": "FAITH",
        "middle_name": "ANNE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAITH",
            "last_name": "PEARSON",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.