NPIMap

Individual provider Active NPI

Jerilyn Dawn Farmer, NP-C

  • Family Nurse Practitioner
  • Ocean Springs, MS
National Provider Identifier
1366749152
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R860669 Issued in MS
Practice address
3704 Bienville Blvd
Suite B
Ocean Springs, MS 39564-5710
Phone
(228) 872-4040
Fax
(228) 875-2387
NPI assigned
Feb 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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 R860669 MS Primary

Addresses

Primary practice location

3704 Bienville Blvd
Suite B
Ocean Springs, MS 39564-5710

Mailing address

3704 Bienville Blvd
Suite B
Ocean Springs, MS 39564-5710
Phone (228) 872-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110325000480 MS Practitioner - Nurse Practitioner 7416130638 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

4603 Hospital St
Pascagoula, MS 39581-5337
Phone (228) 822-6040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R860669MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Gulfport CurrentSince Aug 1, 2021 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Aug 1, 2024 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Southern Ms Heart Center,PA Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Aug 1, 2024 Accepting new patients
Singing River Gulfport CurrentSince Aug 1, 2021 Accepting new patients
Southern Ms Heart Center,PA CurrentSince Feb 12, 2011 Accepting new patients
Singing River Health System Past Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

147 Reynoir St
Ste 307
Biloxi, MS 39530
Phone (228) 435-0100

15190 Community Rd
Ste 140
Gulfport, MS 39503
Phone (228) 539-0489

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

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

4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451

3704 Bienville Blvd
#B
Ocean Springs, MS 39564
Phone (228) 872-4040

4300 Hospital St
Ste 102
Pascagoula, MS 39581
Phone (228) 372-8270

4603 Hospital St
Pascagoula, MS 39581
Phone (228) 762-1002

3616 Hospital St
Pascagoula, MS 39581
Phone (228) 762-1002

Interoperability endpoints

  • Direct secure messaging: jfarmer@direct.mhg.com

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 and National Provider Directory roles.

Hospital & facility affiliations 63

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1366749152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 BIENVILLE BLVD",
            "address_2": "SUITE B",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645710",
            "telephone_number": "228-872-4040",
            "fax_number": "228-875-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 BIENVILLE BLVD",
            "address_2": "SUITE B",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645710",
            "telephone_number": "228-872-4040",
            "fax_number": "228-875-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "JERILYN",
        "middle_name": "DAWN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R860669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.