Active NPI
Brad H Massey, AACNP, ANP
- Acute Care Nurse Practitioner
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R814032
- Practice address
- 15 Keystone Dr Ste E
Hattiesburg, MS 39402-6124 - Phone
- (601) 606-6326
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R814032 | MS | Primary |
Addresses
Primary practice location
15 Keystone Dr Ste E
Hattiesburg, MS 39402-6124
Mailing address
348 Knight Road
Sumrall, MS 39482
Phone (601) 606-6326
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00124846 | Medicaid | MS | |
| 1582531 | Medicaid | LA | |
| 640507572PO | Other | MS | AMERICAN ADMIN GROUP |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090311000650 | MS | Practitioner - Nurse Practitioner | 1254497514 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pioneer Health Care , LLCExceed Physical Therapy, LLC
Practice addresses (Care Compare)
11837 Highland Cir
Suite 700
Gulfport, MS 39503-5035
Phone (601) 550-3153
12261 Hwy 49
Suite 1
Gulfport, MS 39503-2976
Phone (228) 265-7185
14744 N Swan Rd
Gulfport, MS 39503-8582
Phone (601) 550-3153
15 Keystone Dr
Suite E
Hattiesburg, MS 39402-6124
2120 Enterprise Dr
Biloxi, MS 39531-4039
Phone (601) 550-3153
300 Cahal St
Hattiesburg, MS 39401-2922
Phone (601) 550-3153
4 Falcon LN
Hattiesburg, MS 39401-9350
Phone (601) 550-3153
6766 Hwy 98 W
Suite 2
Hattiesburg, MS 39401-6538
Phone (601) 550-3153
6766 U S Hwy 98
Hattiesburg, MS 39402-8443
Phone (601) 550-3153
Hospital & facility affiliations
- Adoration Home Health
- St Luke Home Health Services
- Enhabit Home Health of the Gulf Coast
- Mississippi Homecare of Richton
- Enhabit Home Health & Hospice
- Jefferson Davis Community Hospital Cah
- Marion General Hospital
- Covington County Hospital Cah
- Memorial Hospital at Gulfport
- Forrest General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 51.4 of 100
- Quality
- 41.84
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 47.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R814032 | MS | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Health Care , LLC | Current | Accepting new patients | |
| Conx Care Corporation | Past | Accepting new patients |
Locations
4297 Hwy 42
Bassfield, MS 39421
Phone (601) 943-5060
15 Keystone Dr
Ste E
Hattiesburg, MS 39402
Phone (601) 606-6326
15 Keystone Dr
Ste B
Hattiesburg, MS 39402
300 Cahal St
Hattiesburg, MS 39401
Phone (601) 582-9157
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
Interoperability endpoints
- brad.massey.1@8276.direct.athenahealth.com
- https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Hattiesburg, MS
- NPI 1548183510
-
- Physical Therapist
- Gulfport, MS
- NPI 1023508348
Hospital & facility affiliations 69
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Collins, MS
- NPI 1467400168
-
- Home Health Agency
- Gulfport, MS
- NPI 1013142066
-
- Home Health Agency
- Hattiesburg, MS
- NPI 1760416754
-
- Home Health Agency
- Richton, MS
- NPI 1770521072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1164537445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 KNIGHT ROAD",
"city": "SUMRALL",
"state": "MS",
"postal_code": "39482",
"telephone_number": "601-606-6326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 KEYSTONE DR STE E",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394026124",
"telephone_number": "601-606-6326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "BRAD",
"middle_name": "H",
"credential": "AACNP, ANP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MS",
"license": "R814032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00124846",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1582531",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ADMIN GROUP",
"identifier": "640507572PO",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.