Active NPI
Nikki S Quinley, PA-C
- Physician Assistant
- Pascagoula, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00962
- Practice address
- 2809 Denny Ave
Pascagoula, MS 39581-5301 - Phone
- (228) 809-5510
- Fax
- (228) 809-5519
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-614 | AL | |
| Surgical Physician Assistant | 363AS0400X | PA-614 | AL | |
| Physician Assistant | 363A00000X | PA00962 | MS | Primary |
Addresses
Primary practice location
2809 Denny Ave
Pascagoula, MS 39581-5301
Mailing address
2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-7576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, LA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081117000640 | AL | Practitioner - Physician Assistant | 4183784416 | Reassigns benefits to 2 organizations |
| I20260202003221 | LA | Practitioner - Physician Assistant | 4183784416 | Reassigns benefits to 1 organization |
| I20260225000172 | MS | Practitioner - Physician Assistant | 4183784416 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Compass Urgent Care LLC
Practice addresses (Care Compare)
9985 Airport Blvd
Mobile, AL 36608-9525
9985 Airport Boulevard
Mobile, AL 36608-9525
Phone (251) 633-2273
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.82 of 100
- Improvement activities
- 40
- Cost
- 73.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-614 | AL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Health System | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Singing River Health System | Current | Accepting new patients | |
| E. M. Dimitri, D.O. PMC | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Shapiro Dimitri Medical, LLC | Past | Accepting new patients |
Locations
3213 17th St
Ste 8
Metairie, LA 70002
Phone (504) 322-1104
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054
15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000
1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Gulfport, MS
- NPI 1487327193
-
- Internal Medicine Physician
- Pascagoula, MS
- NPI 1134283419
-
- Dermatology Physician
- Meridian, MS
- NPI 1124373030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1467610550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 HIGHWAY 90",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395535340",
"telephone_number": "228-497-7576",
"fax_number": "228-497-8869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2809 DENNY AVE",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395815301",
"telephone_number": "228-809-5510",
"fax_number": "228-809-5519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINLEY",
"first_name": "NIKKI",
"middle_name": "S",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AL",
"license": "PA-614",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AL",
"license": "PA-614",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MS",
"license": "PA00962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pascagoula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.