Active NPI
Michele Fontenelle McLeod, N.P.
- Family Nurse Practitioner
- Biloxi, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R645982
- Practice address
- 967 Cedar Lake Rd Ste B
Biloxi, MS 39532-2128 - Phone
- (228) 396-8531
- Fax
- (228) 396-1835
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R645982 | MS | Primary |
Addresses
Primary practice location
967 Cedar Lake Rd Ste B
Biloxi, MS 39532-2128
Mailing address
1211 Bexley Church Rd
Lucedale, MS 39452-4643
Phone (601) 947-7334
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05238388 | Medicaid | MS | |
| 640617252002 | Other | MS | TRICARE |
| R645982 | Other | MS | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Greeno Rd N
Fairhope, AL 36532-2914
Phone (251) 277-5300
921 Cedar Lake Rd
Suite E
Biloxi, MS 39532-2126
Phone (228) 396-3945
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Services of the Gulf Coast LLC | Current | Accepting new patients | |
| Cooper Family Medical Center Inc. | Current | Accepting new patients |
Locations
10719 Eastern Shore Blvd
Spanish Fort, AL 36527
Phone (251) 270-0900
921 Cedar Lake Rd
Ste E
Biloxi, MS 39532
Phone (228) 396-3945
1018 Cowan Rd
Gulfport, MS 39507
Phone (228) 265-7945
6652 U S Highway 98
Hattiesburg, MS 39402
1113 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 300-5945
8288 Firetower Rd
Ste F
Pass Christian, MS 39571
Phone (228) 222-8900
Interoperability endpoints
- michele.mcleod.1@24353.direct.athenahealth.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.
-
dba AlphaCare Urgent Care
- Urgent Care Clinic/Center
- Biloxi, MS
- NPI 1366922023
AL
-
- Clinic/Center
- Pascagoula, MS
- NPI 1356478564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1346261864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 BEXLEY CHURCH RD",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "394524643",
"telephone_number": "601-947-7334",
"fax_number": "228-396-1835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "967 CEDAR LAKE RD STE B",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322128",
"telephone_number": "228-396-8531",
"fax_number": "228-396-1835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "MICHELE",
"middle_name": "FONTENELLE",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R645982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05238388",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "640617252002",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "R645982",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.