Individual provider Active NPI

Michael Rehor, NP

  • Family Nurse Practitioner
  • Long Beach, MS
National Provider Identifier
1326460122
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R879271 Issued in MS
Practice address
706 Dogwood Dr
Long Beach, MS 39560-3805
Phone
(228) 424-7906
NPI assigned
Jan 13, 2014
Last updated
Jan 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R879271 MS Primary

Addresses

Primary practice location

706 Dogwood Dr
Long Beach, MS 39560-3805

Mailing address

706 Dogwood Dr
Long Beach, MS 39560-3805

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
I20140311001527 MS Practitioner - Nurse Practitioner 1355571415 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Emergency Department Services PCGroup PAC ID 7113453960, 40 clinicians

Practice addresses (Care Compare)

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R879271MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RH Emergency Medicine of Highland Community LLC CurrentSince Feb 1, 2024 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Apr 12, 2015 Accepting new patients
Hancock Emergency Group LLC CurrentSince May 29, 2015 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Sep 10, 2019 Accepting new patients
Singing River Gulfport CurrentSince Nov 1, 2022 Accepting new patients
Community Care Health Network LLC CurrentSince Mar 1, 2024 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Sep 10, 2019 Accepting new patients
Singing River Gulfport CurrentSince Nov 1, 2022 Accepting new patients
Mississippi Emergency Department Services PC CurrentSince Nov 26, 2024 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

1806 Simpson Highway 49
Magee, MS 39111
Phone (601) 439-1420

3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1326460122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 DOGWOOD DR",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 DOGWOOD DR",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603805",
            "telephone_number": "228-424-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHOR",
        "first_name": "MICHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R879271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

Verify at the official NPI Registry.