Deborah A Hoover, DNP,FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R764566 Issued in MS

Practice address

4077 Pemberton Square Blvd
Vicksburg, MS 39180-5580

Phone

(601) 638-8600

Fax

(601) 638-8661

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• App of Mississippi Ed, LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1730687740
  Medicare reassignment NPD
• Claiborne County Hospital

  • Psychiatric Hospital Unit
  • Port Gibson, MS
  • NPI 1528319027
  Medicare reassignment NPD
• Claiborne County Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Port Gibson, MS
  • NPI 1710238324
  Medicare reassignment NPD
• Claiborne County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Port Gibson, MS
  • NPI 1740531359
  Medicare reassignment NPD
• Claiborne County Hospital

  • Critical Access Hospital
  • Port Gibson, MS
  • NPI 1497003610
  NPD
• Claib Cty HSP Pro Fees

  • Emergency Medical Services (Emergency Medicine) Physician
  • Port Gibson, MS
  • NPI 1558480491
  NPD (past)
• Vicksburg Clinic LLC

  • Infectious Disease Physician
  • Vicksburg, MS
  • NPI 1659307791

  Nurse Practitioner

  NPD (past)
• Vicksburg Clinic LLC

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1790711158
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1396776514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 PEMBERTON SQUARE BLVD",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805580",
            "telephone_number": "601-638-8600",
            "fax_number": "601-638-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 PEMBERTON SQUARE BLVD",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805580",
            "telephone_number": "601-638-8600",
            "fax_number": "601-638-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "DNP,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R764566",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "R764566",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125362",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1140503",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon B Holmberg, LCSW
• Jana L Holmes-Moore, LPC
• James William Holy, MD
• Hometown Medical LLC
• Rose Hood
• Emily Horton
• Christina R Hossley, NP
• Ashton M Hotard, SLP
• Dale P Hotard III, CRNA
• Houseal Enterprises

• Nurse Practitioner in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.