Individual provider Active NPI

Stephanie Lauren Wilson, FNP

  • Family Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1437579091
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R885494 Issued in MS
Practice address
1886 Popps Ferry Rd
Biloxi, MS 39532-2104
Phone
(228) 338-1515
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 885494 MS
Urgent Care Clinic/Center 261QU0200X 885494 MS
Family Nurse Practitioner 363LF0000X R885494 MS Primary

Addresses

Primary practice location

1886 Popps Ferry Rd
Biloxi, MS 39532-2104

Mailing address

1886 Popps Ferry Rd
Biloxi, MS 39532-2104
Phone (904) 521-9268

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
I20140613000923 MS Practitioner - Nurse Practitioner 2163646175 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Trinity Health Urgent Care LLCGroup PAC ID 4385149699, 2 clinicians
Complete Health Urgicare, IncGroup PAC ID 6709008659, 8 clinicians

Practice addresses (Care Compare)

1886 Popps Ferry Rd
Biloxi, MS 39532-2104
Phone (228) 338-1515

4211 Hospital St
Suite 101
Pascagoula, MS 39581-5310
Phone (228) 471-2273

Hospital & facility affiliations

  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
885494MSMDUrgent Care Clinic/Center
R885494MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Family Urgent Care LLC Multi-Specialty CurrentSince Apr 1, 2020 Accepting new patients
Complete Health Urgicare, Inc Multi-Specialty CurrentSince Dec 22, 2020 Accepting new patients
Trinity Health Urgent Care, LLC Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
A R Mizell LLC Multi-Specialty CurrentSince Aug 1, 2015 Accepting new patients
Hancock Emergency Group LLC Multi-Specialty CurrentSince Sep 1, 2014 Accepting new patients

Locations

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

1886 Popps Ferry Rd
Biloxi, MS 39532
Phone (228) 338-1515

1212 E Pass Rd
Gulfport, MS 39507
Phone (228) 896-7108

12303 Highway 49
Gulfport, MS 39503
Phone (228) 832-6221

4211 Hospital St
Ste 101
Pascagoula, MS 39581
Phone (228) 332-0128

4211 Hospital St
Pascagoula, MS 39581
Phone (228) 283-4140

Organizations & group practices 5

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 2

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1437579091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 POPPS FERRY RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322104",
            "telephone_number": "904-521-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 POPPS FERRY RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322104",
            "telephone_number": "228-338-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "STEPHANIE",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MS",
            "license": "885494",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MS",
            "license": "885494",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R885494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.