Individual provider Active NPI

Jennifer Walker Weber

  • Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1336281609
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
889212 Issued in MS
Practice address
1756 Popps Ferry Rd Ste a
Biloxi, MS 39532-2118
Phone
(228) 865-3200
Fax
(228) 575-1600
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN10802 TN
Nurse Practitioner 363L00000X 889212 MS Primary

Addresses

Primary practice location

1756 Popps Ferry Rd Ste a
Biloxi, MS 39532-2118

Mailing address

2000 Richard Jones Rd.
Ste. 220
Nashville, TN 37215
Phone (615) 383-2400

Other identifiers 1

IdentifierTypeStateIssuer
3648434MedicaidTN

Other names 1

  • Jennifer D. Walker Former name

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
I20220328000102 MS Practitioner - Nurse Practitioner 8224084934 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
889212MSMDNurse Practitioner
APN10802TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Dec 16, 2021 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Dec 16, 2021 Accepting new patients

Locations

1756 Popps Ferry Rd
Ste A
Biloxi, MS 39532
Phone (228) 865-3200

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

Interoperability endpoints

  • Direct secure messaging: jennifer.walker@direct.mhg.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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1336281609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RICHARD JONES RD.",
            "address_2": "STE. 220",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37215",
            "telephone_number": "615-383-2400",
            "fax_number": "615-383-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 POPPS FERRY RD STE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322118",
            "telephone_number": "228-865-3200",
            "fax_number": "228-575-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JENNIFER",
        "middle_name": "WALKER",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN10802",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "889212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3648434",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WALKER",
            "middle_name": "D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.