Individual provider Active NPI

Keila Mayfield, FNP

  • Family Nurse Practitioner
  • Cleveland, MS
National Provider Identifier
1235709494
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904723 Issued in MS
Practice address
810 E. Sunflower Road
Suite 100a
Cleveland, MS 38732-2828
Phone
(662) 843-3606
Fax
(662) 846-1708
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 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 904723 MS Primary

Addresses

Primary practice location

810 E. Sunflower Road
Suite 100a
Cleveland, MS 38732-2828

Mailing address

810 E. Sunflower Road
Suite 100a
Cleveland, MS 38732-2828
Phone (662) 843-3606

Other names 1

  • Keila Duarte Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address keila.duarte@scionhealth.com

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
I20220929000201 MS Practitioner - Nurse Practitioner 2163808106 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians
Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians

Practice addresses (Care Compare)

1190 N State St
Jackson, MS 39202-2413
Phone (769) 243-6141

2781 C T Switzer Sr Dr
Suite 100
Biloxi, MS 39531-4535
Phone (769) 243-6141

Hospital & facility affiliations

  • Accentcare Home Health of Greenwood Home health agency, Greenwood, MS, CCN 257131
  • Panola Medical Center Hospital, Batesville, MS, CCN 250781

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bolivar Physician Practices LLC CurrentSince Jun 29, 2022 Accepting new patients
Bolivar Physician Practices LLC Current Accepting new patients
Wound Management Specialists, LLC CurrentSince Mar 25, 2024 Accepting new patients
Healthcare Plus Limited Liability Company CurrentSince Nov 1, 2025 Accepting new patients
Bolivar Physician Practices LLC CurrentSince Jun 29, 2022 Accepting new patients
Winston Medical Clinic LLC Past Accepting new patients

Locations

2781 C T Switzer SR Dr
Ste 100
Biloxi, MS 39531
Phone (228) 207-8632

810 E Sunflower Rd
Ste 100A
Cleveland, MS 38732
Phone (662) 579-0118

907 E Sunflower Rd
Ste 102
Cleveland, MS 38732
Phone (662) 545-4443

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

1190 N State St
Ste 2A
Jackson, MS 39202
Phone (601) 292-4292

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1235709494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E. SUNFLOWER ROAD",
            "address_2": "SUITE 100A",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322828",
            "telephone_number": "662-843-3606",
            "fax_number": "662-846-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E. SUNFLOWER ROAD",
            "address_2": "SUITE 100A",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322828",
            "telephone_number": "662-843-3606",
            "fax_number": "662-846-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "KEILA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keila.duarte@scionhealth.com",
            "affiliation": "N",
            "address_1": "810 E. Sunflower Road",
            "address_2": "Suite 100A",
            "city": "Cleveland",
            "state": "MS",
            "country_code": "US",
            "postal_code": "387322828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KEILA",
            "last_name": "DUARTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, MS

Sources for this page

Verify at the official NPI Registry.