Individual provider Active NPI

Veronica Lynn Walker, AGPCNP

  • Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1285287698
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
903457 Issued in MS
Practice address
180B Debuys Rd
Biloxi, MS 39531-4404
Phone
(228) 273-4096
Fax
(877) 796-0186
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 903457 MS
Gerontology Nurse Practitioner 363LG0600X 903457 MS
Nurse Practitioner 363L00000X 903457 MS Primary

Addresses

Primary practice location

180B Debuys Rd
Biloxi, MS 39531-4404

Mailing address

PO Box 4594
Biloxi, MS 39535-4594
Phone (228) 273-4096

Other practice location 1

3003 Shortcut Rd
Pascagoula, MS 39567-1810
Phone (228) 273-4096

Other identifiers 1

IdentifierTypeStateIssuer
005278814MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@painstopspineclinic.com Direct PainStop Spine Clinic, LLC

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
I20191120001328 MS Practitioner - Nurse Practitioner 8820420409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Painstop Spine Clinic, LLCGroup PAC ID 9739355124, 9 clinicians

Practice addresses (Care Compare)

180 B Debuys Rd
Biloxi, MS 39531-4404
Phone (228) 273-4096

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903457MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Painstop Spine Clinic, LLC CurrentSince Nov 4, 2019 Accepting new patients
Painstop Spine Clinic, LLC CurrentSince Nov 4, 2019 Accepting new patients

Locations

180B Debuys Rd
Biloxi, MS 39531
Phone (228) 273-4096

180B Debuys Rd
Ste 203
Biloxi, MS 39531
Phone (228) 273-4096

3003 Shortcut Rd
Pascagoula, MS 39567
Phone (228) 273-4096

Interoperability endpoints

  • Direct secure messaging: painstopspineclinic.veronicawalker@126162.advancedmd-direct.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.

Hospital & facility affiliations 60

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

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1285287698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4594",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395354594",
            "telephone_number": "228-273-4096",
            "fax_number": "877-796-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180B DEBUYS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314404",
            "telephone_number": "228-273-4096",
            "fax_number": "877-796-0186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 Shortcut Rd",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395671810",
            "country_code": "US",
            "telephone_number": "228-273-4096",
            "fax_number": "877-796-0186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "VERONICA",
        "middle_name": "LYNN",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "903457",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "903457",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005278814",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@painstopspineclinic.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "PainStop Spine Clinic, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all",
            "address_1": "180B Debuys Rd",
            "city": "Biloxi",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395314404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.