Active NPI
Kelly Cowan, FNP-C
- Family Nurse Practitioner
- Biloxi, MS
National Provider Identifier
1164828372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R893568
- Practice address
- 2781 C.T. Switzer Drive
Suite 402
Biloxi, MS 39531-4535 - Phone
- (228) 388-0949
- NPI assigned
- Nov 15, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R893568 | MS | Primary |
Addresses
Primary practice location
2781 C.T. Switzer Drive
Suite 402
Biloxi, MS 39531-4535
Mailing address
3704 Springwood LN
Ocean Springs, MS 39564-5051
Phone (850) 232-4361
Other names 1
- Kelly Richard
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 |
|---|---|---|---|---|
| I20150325000801 | MS | Practitioner - Nurse Practitioner | 0042537391 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital at Gulfport
Practice addresses (Care Compare)
1340 Broad Ave
Gulfport, MS 39501-2460
1340 Broad Ave
Gulfport, MS 39501-2465
2781 C T Switzer Sr Dr
Biloxi, MS 39531-4535
4603 Hospital St
Pascagoula, MS 39581-5337
Phone (228) 822-6040
Hospital & facility affiliations
- Memorial Hospital at Gulfport
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R893568 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital at Gulfport | Current | Accepting new patients |
Interoperability endpoints
- kcowan@direct.mhg.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
Hospital & facility affiliations 60
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gulfport, MS
- NPI 1184956815
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1164828372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3704 SPRINGWOOD LN",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395645051",
"telephone_number": "850-232-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2781 C.T. SWITZER DRIVE",
"address_2": "SUITE 402",
"city": "BILOXI",
"state": "MS",
"postal_code": "395314535",
"telephone_number": "228-388-0949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWAN",
"first_name": "KELLY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-15",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R893568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "RICHARD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.