Active NPI
Keila Mayfield, FNP
- Family Nurse Practitioner
- Cleveland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 904723
- 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
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 | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Panola Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolivar Physician Practices LLC | Current | Accepting new patients | |
| Bolivar Physician Practices LLC | Current | Accepting new patients | |
| Wound Management Specialists, LLC | Current | Accepting new patients | |
| Healthcare Plus Limited Liability Company | Current | Accepting new patients | |
| Bolivar Physician Practices LLC | Current | 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.
-
- Family Medicine Physician
- Cleveland, MS
- NPI 1043454655
-
- Rural Health Clinic/Center
- Rosedale, MS
- NPI 1205489689
-
- Rural Health Clinic/Center
- Louisville, MS
- NPI 1629417324
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Greenwood, MS
- NPI 1235270588
-
- Rural Acute Care Hospital
- Batesville, MS
- NPI 1053873307
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.