Individual provider Active NPI

Nathan Paul Stanley, FNP-C

  • Family Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1215615992
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906044 Issued in MS
Practice address
1025 Division St
Biloxi, MS 39530-2906
Phone
(228) 388-2599
NPI assigned
Jul 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 906044 MS Primary

Addresses

Primary practice location

1025 Division St
Biloxi, MS 39530-2906

Mailing address

7109 Southwind Dr
Biloxi, MS 39532-5748
Phone (228) 233-5559

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
I20231115001556 MS Practitioner - Nurse Practitioner 8527415330 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Springs Urgent CareGroup PAC ID 0244426195, 18 clinicians

Practice addresses (Care Compare)

1514 Bienville Blvd
Ocean Springs, MS 39564-3006
Phone (228) 382-9222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Jan 1, 2024 Accepting new patients
Orange Grove Urgent Care CurrentSince Dec 11, 2023 Accepting new patients
Pascagoula Urgent Care CurrentSince Jun 21, 2024 Accepting new patients
Gulfport 49 Imaging, LLC CurrentSince Dec 11, 2023 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Sep 11, 2023 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Sep 11, 2023 Accepting new patients
Ocean Springs Urgent Care CurrentSince Dec 11, 2023 Accepting new patients
Maxem Health Urgent Care Diberville CurrentSince May 1, 2024 Accepting new patients
Picayune Urgent Care Clinic, LLC CurrentSince Dec 11, 2023 Accepting new patients
Medical Analysis LLC PastSince Jul 16, 2023 Accepting new patients

Locations

10319 Diberville Blvd
Diberville, MS 39540
Phone (228) 395-2999

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

10556 Highway 49
Gulfport, MS 39503
Phone (228) 539-2399

1203 Broad Ave
Gulfport, MS 39501
Phone (228) 547-8814

1514 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 382-9222

2210 Denny Ave
Pascagoula, MS 39567
Phone (228) 372-6040

422 Memorial Blvd
Picayune, MS 39466
Phone (601) 749-0080

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

Interoperability endpoints

  • Direct secure messaging: nathan.stanley@direct.mhg.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1215615992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 SOUTHWIND DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395325748",
            "telephone_number": "228-233-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 DIVISION ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395302906",
            "telephone_number": "228-388-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "NATHAN",
        "middle_name": "PAUL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.