Individual provider Active NPI

Marion B Brewer, FNP-C

  • Primary Care Nurse Practitioner
  • Bay St Louis, MS
National Provider Identifier
1235902859
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
906349 Issued in MS
Practice address
109 Hospital Dr
Bay St Louis, MS 39520-1604
Phone
(228) 463-9666
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 906349 MS Primary

Addresses

Primary practice location

109 Hospital Dr
Bay St Louis, MS 39520-1604

Mailing address

109 Hospital Dr
Bay St Louis, MS 39520-1604
Phone (228) 463-9666

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
I20240329001875 MS Practitioner - Nurse Practitioner 7416395272 Reassigns benefits to 1 organization

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
Coastal Family Health Center, IncGroup PAC ID 8628989654, 48 clinicians

Practice addresses (Care Compare)

109 Hospital Dr
Bay Saint Louis, MS 39520-1604
Phone (228) 463-9666

Hospital & facility affiliations

  • Ochsner Medical Center-Hancock Hospital, Bay Saint Louis, MS, CCN 250162

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Health Center, Inc CurrentSince Feb 14, 2024 Accepting new patients
Coastal Family Health Center, Inc Current Accepting new patients
Coastal Family Health Center, Inc CurrentSince Feb 14, 2024 Accepting new patients

Locations

109 Hospital Dr
Bay St Louis, MS 39520
Phone (228) 463-9666

1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494

715A Division St
Biloxi, MS 39530
Phone (228) 374-4991

Interoperability endpoints

  • Direct secure messaging: marion.brewer.p1@direct.cfhc.nextgenshare.com

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.

Hospital & facility affiliations 1

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": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1235902859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HOSPITAL DR",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201604",
            "telephone_number": "228-463-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HOSPITAL DR",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201604",
            "telephone_number": "228-463-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "MARION",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "906349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay St Louis, MS

Sources for this page

Verify at the official NPI Registry.