Active NPI
Stephanie Creshell Ruffin, NP
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 904782
- Practice address
- 2401 State Blvd
Meridian, MS 39307-5033 - Phone
- (601) 282-8226
- Fax
- (601) 512-0443
- NPI assigned
- Jul 30, 2021
- Last updated
- Nov 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 235559 | LA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 904782 | MS | Primary |
Addresses
Primary practice location
2401 State Blvd
Meridian, MS 39307-5033
Mailing address
2399 Long Creek Rd
Meridian, MS 39301-9342
Phone (601) 701-5609
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hcotg2020@outlook.com | Direct | |
| Direct Messaging Address | hcotg@outlook.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
125 Turner St Unit
14 Mary Anna Nursing Home
Wisner, LA 71378
Phone (972) 449-0540
2399 Long Creek Rd
Meridian, MS 39301-9342
Phone (601) 701-5609
2401 State Blvd
Meridian, MS 39307-5033
Phone (601) 282-2886
248 E Capitol St
Suite 840
Jackson, MS 39201-2505
Phone (972) 449-0540
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Current | Accepting new patients | |
| Peaceful Mind Psychiatry | Psychiatric/Mental Health | Current | Accepting new patients |
| Forefront Telecare Inc | Current | Accepting new patients | |
| Alliance Health Center Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Healthcareonthego, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
187 Ninth St
Jena, LA 71342
Phone (318) 992-9200
103 Millcreek Cors
Brandon, MS 39047
Phone (601) 207-2017
248 E Capitol St
Ste 840
Jackson, MS 39201
2401 State Blvd
Meridian, MS 39307
Phone (601) 282-2886
5000 Highway 39 N
Meridian, MS 39301
Phone (601) 483-6211
Interoperability endpoints
- stephanie.ruffin.1@24287.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Meridian, MS
- NPI 1831672435
Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, MS
- NPI 1124738711
-
- Psychiatry Physician
- Meridian, MS
- NPI 1679850150
Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, MS
- NPI 1558270686
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Anderson Regional Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1649226952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1124791512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2399 LONG CREEK RD",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393019342",
"telephone_number": "601-701-5609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 STATE BLVD",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393075033",
"telephone_number": "601-282-8226",
"fax_number": "601-512-0443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFIN",
"first_name": "STEPHANIE",
"middle_name": "CRESHELL",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-30",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "LA",
"license": "235559",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "904782",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hcotg2020@outlook.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 State Blvd",
"city": "Meridian",
"state": "MS",
"country_code": "US",
"postal_code": "393075033",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hcotg@outlook.com",
"affiliation": "N",
"address_1": "2401 State Blvd",
"city": "Meridian",
"state": "MS",
"country_code": "US",
"postal_code": "393075033",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Meridian, MS
- Scottie Leon Rowland, L.P.C.
- Ashley Rue
- Andre Ruela, MD
- Cedric Jarrod Ruffin, PA
- Denise R. Ruffin, DDS
- Rural Medical Associates, Inc. (Women's Healthcare Center for Imaging)
- Rural Solutions, LLC
- Rush Care, Inc. (Ochsner Specialty Hospital)
- Rush Care, Inc. (Ochsner Specialty Hospital Swing Bed)
- Rush Care, Inc. (Ochsner Specialty Hospital Professional Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.