Individual provider Active NPI

Vanessa Storozuk, APRN, FNP-C

  • Family Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1063201804
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907240 Issued in MS
Practice address
5003 Hardy St Ste 200
Hattiesburg, MS 39402-1331
Phone
(601) 261-5700
Fax
(601) 261-5777
NPI assigned
May 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 907240 MS Primary

Addresses

Primary practice location

5003 Hardy St Ste 200
Hattiesburg, MS 39402-1331

Mailing address

5003 Hardy St Ste 200
Hattiesburg, MS 39402-1331
Phone (601) 261-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251231003201 MS Practitioner - Nurse Practitioner 1951897602 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covington County HospitalGroup PAC ID 4183517253, 44 clinicians

Practice addresses (Care Compare)

800 3Rd St SW
Magee, MS 39111-3951
Phone (601) 849-1918

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907240MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covington County Hospital CurrentSince Nov 1, 2025 Accepting new patients
Covington County Hospital CurrentSince Nov 1, 2025 Accepting new patients
Covington County Hospital CurrentSince Nov 1, 2025 Accepting new patients
Covington County Hospital CurrentSince Nov 5, 2025 Accepting new patients
Green Tree Family Medical Clinic Current Accepting new patients
Thomas R. Blackledge, Jr., MD, PA Current Accepting new patients
Covington County Hospital CurrentSince Nov 1, 2025 Accepting new patients
Covington County Hospital CurrentSince Nov 1, 2025 Accepting new patients
Covington County Hospital CurrentSince Nov 1, 2025 Accepting new patients

Locations

3275 Highway 49
Ste E
Collins, MS 39428
Phone (601) 765-6292

800 3rd St SW
Magee, MS 39111
Phone (601) 849-1918

105 Eaton St
Taylorsville, MS 39168
Phone (601) 452-4280

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/covingc-3983785e

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1063201804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 HARDY ST STE 200",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021331",
            "telephone_number": "601-261-5700",
            "fax_number": "601-261-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 HARDY ST STE 200",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021331",
            "telephone_number": "601-261-5700",
            "fax_number": "601-261-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOROZUK",
        "first_name": "VANESSA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.