Individual provider Active NPI

Kelsy Seymour, FNP

  • Family Nurse Practitioner
  • Ocean Springs, MS
National Provider Identifier
1154712248
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R868739 Issued in MS
Practice address
3109 Bienville Blvd
Suite 340
Ocean Springs, MS 39564-4361
Phone
(228) 818-1180
NPI assigned
Feb 10, 2015
Last updated
Feb 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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 R868739 MS Primary

Addresses

Primary practice location

3109 Bienville Blvd
Suite 340
Ocean Springs, MS 39564-4361

Mailing address

3109 Bievnille Blvd
Ocean Springs, MS 39564
Phone (228) 818-1180

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
I20150429000106 MS Practitioner - Nurse Practitioner 6901125798 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Jul 31, 2019 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jan 13, 2020 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jan 13, 2020 Accepting new patients

Locations

1720A Medical Park Dr
Ste 150
Biloxi, MS 39532
Phone (228) 392-7429

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

4215 15th St
Gulfport, MS 39501
Phone (228) 863-5211

3099 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-2403

3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100

3109 Bienville Blvd
Ste 340
Ocean Springs, MS 39564
Phone (228) 818-1180

2819 Denny Ave
Pascagoula, MS 39581
Phone (228) 762-3466

Interoperability endpoints

  • Direct secure messaging: kseymour@direct.mhg.com

Organizations & group practices 5

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": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1154712248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 BIEVNILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-818-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 BIENVILLE BLVD",
            "address_2": "SUITE 340",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644361",
            "telephone_number": "228-818-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "KELSY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R868739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.