Individual provider Active NPI

Bonny Saucier, CFNP

  • Nurse Practitioner
  • Vicksburg, MS
National Provider Identifier
1306126271
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R877836 Issued in MS
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

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01402402OtherMSRR MEDICARE
000451879MedicaidMS

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
I20111012000108 MS Practitioner - Nurse Practitioner 2668644824 Reassigns benefits to 5 organizations

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
Minor Med Care, LLCGroup PAC ID 7618866021, 77 clinicians
Uppal Medical Center LLCGroup PAC ID 4587998547, 129 clinicians
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians

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 Hospital, Jackson, MS, CCN 250102

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
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

LicenseStateTypeSpecialty
R877836MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Apr 28, 2012 Accepting new patients
MDB Behavioral Health Services LLC CurrentSince Apr 2, 2024 Accepting new patients
Minor Med Care, LLC CurrentSince Sep 13, 2025 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Sep 1, 2011 Accepting new patients
Medical Foundation of Central Ms CurrentSince Sep 1, 2011 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Apr 28, 2012 Accepting new patients
Minor Med Care, LLC CurrentSince Sep 13, 2025 Accepting new patients
Uppal Medical Center LLC CurrentSince Jan 27, 2026 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.