NPIMap

Individual provider Active NPI

Rebekah Jones, CRNP

  • Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1447988167
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
906240 Issued in MS
Practice address
15024 Martin Luther King Jr Blvd
Gulfport, MS 39501-8306
Phone
(228) 374-2494
Fax
(228) 396-3457
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-159847 AL
Registered Nurse 163W00000X 1-159847 AL
Nurse Practitioner 363L00000X 906240 MS Primary

Addresses

Primary practice location

15024 Martin Luther King Jr Blvd
Gulfport, MS 39501-8306

Mailing address

PO Box 2048
Mobile, AL 36652-2048
Phone (251) 432-4117

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
I20230919002740 MS Practitioner - Nurse Practitioner 5092179309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15024 Martin Luther King Jr Blvd
Gulfport, MS 39501-8306
Phone (228) 864-0003

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-159847ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Health Center Inc CurrentSince Aug 30, 2023 Accepting new patients
Coastal Family Health Center, Inc CurrentSince Aug 30, 2023 Accepting new patients
Coastal Family Health Center, Inc Current Accepting new patients

Locations

715A Division St
Biloxi, MS 39530
Phone (228) 374-4991

1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494

15024 Mlk
Gulfport, MS 39501
Phone (228) 846-0003

Interoperability endpoints

  • Direct secure messaging: rebekah.jones.p1@direct.cfhc.nextgenshare.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.

Hospital & facility affiliations 60

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

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1447988167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2048",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366522048",
            "telephone_number": "251-432-4117",
            "fax_number": "251-436-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15024 MARTIN LUTHER KING JR BLVD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395018306",
            "telephone_number": "228-374-2494",
            "fax_number": "228-396-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "REBEKAH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-159847",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-159847",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "906240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.