Individual provider Active NPI

Becky Jan Mercier, RN, CFNP

  • Family Nurse Practitioner
  • Monticello, MS
National Provider Identifier
1083726491
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R862123 Issued in MS
Practice address
1065 E Broad St
Monticello, MS 39654-7703
Phone
(601) 587-4051
Fax
(601) 587-1256
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R862123 MS Primary

Addresses

Primary practice location

1065 E Broad St
Monticello, MS 39654-7703

Mailing address

31 Jubilee PT
Hattiesburg, MS 39402-7620
Phone (601) 271-9078

Other identifiers 1

IdentifierTypeStateIssuer
00126490MedicaidMS

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
I20040629001303 MS Practitioner - Nurse Practitioner 0244216166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Emergency Medicine Specialists of Hattiesburg LLCGroup PAC ID 9032549142, 46 clinicians

Practice addresses (Care Compare)

3446 Big Ridge Rd
Diberville, MS 39540-2421
Phone (228) 392-4153

6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R862123MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest County General Hospital CurrentSince Feb 23, 2010 Accepting new patients
Covington County Hospital CurrentSince Oct 8, 2016 Accepting new patients
Coastal Family Health Center, Inc CurrentSince Aug 30, 2020 Accepting new patients
Covington County Hospital Current Accepting new patients
Relias Emergency Medicine Specialists of Hattiesburg LLC CurrentSince Apr 1, 2020 Accepting new patients
Coastal Family Health Center, Inc CurrentSince Aug 30, 2020 Accepting new patients
Covington County Hospital CurrentSince Oct 8, 2016 Accepting new patients
Pearl River County Hospital CurrentSince Feb 23, 2010 Accepting new patients

Locations

1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494

715A Division St
Biloxi, MS 39530
Phone (228) 374-4991

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

701 S Holly Ave
Collins, MS 39428
Phone (601) 765-3180

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

305 W Moody St
#H
Poplarville, MS 39470
Phone (601) 795-4345

Interoperability endpoints

  • Direct secure messaging: becky.mercier.p1@direct.cfhc.nextgenshare.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/covingc-3983785e

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083726491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 JUBILEE PT",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027620",
            "telephone_number": "601-271-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 E BROAD ST",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396547703",
            "telephone_number": "601-587-4051",
            "fax_number": "601-587-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCIER",
        "first_name": "BECKY",
        "middle_name": "JAN",
        "credential": "RN, CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R862123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126490",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MS

Sources for this page

Verify at the official NPI Registry.