Individual provider Active NPI

Victoria Burges Swynenberg, APRN, FNP-C

  • Family Nurse Practitioner
  • Vancleave, MS
National Provider Identifier
1124382635
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
749660 Issued in TX
Practice address
10828 Highway 57
Vancleave, MS 39565-7845
Phone
(228) 374-2494
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 749660 TX Primary

Addresses

Primary practice location

10828 Highway 57
Vancleave, MS 39565-7845

Mailing address

PO Box 475
Biloxi, MS 39533-0475
Phone (228) 374-2494

Other names 1

  • Victoria Lynn Burges Former name

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
I20210305001403 MS Practitioner - Nurse Practitioner 4385874189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Family Health Center, IncGroup PAC ID 8628989654, 48 clinicians

Practice addresses (Care Compare)

1046 Division St
Biloxi, MS 39530-2935
Phone (228) 374-2494

10828 Hwy 57
Vancleave, MS 39565-8264
Phone (228) 826-4711

15024 Martin Luther King Jr Blvd
Gulfport, MS 39501-8306
Phone (228) 864-0003

23453 Central Dr
Saucier, MS 39574-7521
Phone (228) 832-7223

23457 Central Dr
A
Saucier, MS 39574-7521
Phone (228) 832-7223

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Health Center, Inc CurrentSince May 6, 2024 Accepting new patients
Coastal Family Health Center, Inc CurrentSince May 6, 2024 Accepting new patients
Coastal Family Health Center, Inc Current Accepting new patients
Toth Enterprises, II PA CurrentSince Sep 6, 2020 Accepting new patients

Locations

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

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

10828 Highway 57
Vancleave, MS 39565
Phone (228) 826-4711

4303 Victory Dr
Austin, TX 78704

2110 W Ben White Blvd
Austin, TX 78704

4303 Victory Dr
#100
Austin, TX 78704

Interoperability endpoints

  • Direct secure messaging: victoria.swynenberg.p1@direct.cfhc.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1124382635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 475",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395330475",
            "telephone_number": "228-374-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10828 HIGHWAY 57",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395657845",
            "telephone_number": "228-374-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWYNENBERG",
        "first_name": "VICTORIA",
        "middle_name": "BURGES",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "749660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "BURGES",
            "middle_name": "LYNN",
            "credential": "APRN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancleave, MS

Sources for this page

Verify at the official NPI Registry.