Steven Wilson Cabell, NP
Individual provider Active NPI Family Nurse Practitioner · Brookhaven, MS
NPI 1083662100 · NPPES record last updated Nov 21, 2008
Key facts
- NPI
- 1083662100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R857889 (MS)
- Practice address
- 427 Highway 51 N
Brookhaven, MS 39601-2350 - Phone
- (800) 893-9698
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trustcare Health, LLC
Practice addresses (Care Compare)
1645 W Government St
Suite F
Brandon, MS 39042-4602
Phone (601) 829-6600
601 Hwy 80 E
Clinton, MS 39056-5122
Phone (601) 708-1480
786 Lake Harbour Dr
Ridgeland, MS 39157-4303
Phone (601) 499-0022
Hospital & facility affiliations
- Crossgates River Oaks Hospital
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 |
|---|---|---|---|---|
| I20060920000345 | MS | Practitioner - Nurse Practitioner | 8527063858 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustcare Primary Care, LLC | Past | Accepting new patients | |
| Advantage Health Saint Mary'S Medical Group | Past | Accepting new patients | |
| Flowood River Oaks Hma Medical Group, LLC | Past | Accepting new patients | |
| Checkups - la LLC | Past | Accepting new patients | |
| Checkups - Ms LLC | Past | Accepting new patients | |
| Gulfport Emergency Physicians | Past | Accepting new patients | |
| Mississippi PHS PC | Past | Accepting new patients |
Interoperability endpoints
- steven.cabell.1@19538.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R857889 | MS | Yes |
Addresses
Primary practice location
427 Highway 51 N
Brookhaven, MS 39601-2350
Mailing address
4230 Summerton Dr
Jackson, MS 39272-8738
Phone (800) 893-9698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 512I500576 | Other | MS | MEDICARE PTAN# |
| 01222596 | Medicaid | MS |
Other providers in Brookhaven, MS
- Michael Burch
- Charles Nickolas Burns
- Kimberly Burr
- Makieta Byrd
- Shanijua E Byrd
- Bryan S Calcote
- Caleb W. Herndon, M.D., PH.D., P.a.
- Antoinette Cameron
- Daniel Campbell
- Carebridge LLC
All providers in Brookhaven, MS · Family 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 Nov 21, 2008. 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.