Active NPI
Bonny Saucier, CFNP
- Nurse Practitioner
- Vicksburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R877836
- Practice address
- 1911 Mission 66 Ste B
Vicksburg, MS 39180-3762 - Phone
- (601) 456-2598
- Fax
- (855) 830-3484
- NPI assigned
- Aug 24, 2011
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R877836 | MS | Primary |
Addresses
Primary practice location
1911 Mission 66 Ste B
Vicksburg, MS 39180-3762
Mailing address
215 Katherine Dr Ste a
Flowood, MS 39232-9588
Phone (601) 665-4162
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01402402 | Other | MS | RR MEDICARE |
| 000451879 | Medicaid | MS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Mississippi School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341
1727 E Union St
Greenville, MS 38703-3253
Phone (662) 537-4830
1911 Mission
66 Suite B
Vicksburg, MS 39180-3762
Phone (601) 456-2598
Hospital & facility affiliations
- Mississippi Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R877836 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| MDB Behavioral Health Services LLC | Current | Accepting new patients | |
| Minor Med Care, LLC | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Minor Med Care, LLC | Current | Accepting new patients | |
| Uppal Medical Center LLC | Current | Accepting new patients |
Locations
1727 E Union St
Greenville, MS 38703
Phone (662) 332-0373
2860 McDowell Road Ext
Jackson, MS 39204
Phone (601) 372-1117
1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775
215 Katherine Dr
#A
Jackson, MS 39232
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
Interoperability endpoints
- bsaucier11277@ummc.direct-ci.com
Organizations & group practices 8
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.
-
- Rural Health Clinic/Center
- Vicksburg, MS
- NPI 1669835310
-
- Primary Care Clinic/Center
- Jackson, MS
- NPI 1407968738
-
- Rural Health Clinic/Center
- Greenville, MS
- NPI 1558927905
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
- Rural Health Clinic/Center
- Raymond, MS
- NPI 1669575627
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1306126271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 KATHERINE DR STE A",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329588",
"telephone_number": "601-665-4162",
"fax_number": "888-830-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 MISSION 66 STE B",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391803762",
"telephone_number": "601-456-2598",
"fax_number": "855-830-3484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUCIER",
"first_name": "BONNY",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R877836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01402402",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000451879",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.