Active NPI
Staci Renee Hess, NP
- Women's Health Nurse Practitioner
- Bay St Louis, MS
National Provider Identifier
1497925465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R875666
- Practice address
- 1009 Benigno Lane
Bay St Louis, MS 39520 - Phone
- (228) 467-2555
- Fax
- (228) 467-5480
- NPI assigned
- Mar 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R875666 | MS | Primary |
Addresses
Primary practice location
1009 Benigno Lane
Bay St Louis, MS 39520
Mailing address
PO Box 2778
Bay St Louis, MS 39520
Phone (228) 467-2555
Other names 1
- Staci Lumpkin
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091001000637 | MS | Practitioner - Nurse Practitioner | 4981740131 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.44 of 100
- Quality
- 87.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R875666 | MS | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Community Hospital Physicians | Current | Accepting new patients | |
| Forrest County General Hospital | Past | Accepting new patients |
Locations
128 Highland Pkwy
Ste 202
Picayune, MS 39466
Phone (601) 358-9422
128 Highland Pkwy
Ste 201
Picayune, MS 39466
146 Highland Pkwy
Ste C
Picayune, MS 39466
Phone (601) 358-9765
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Picayune, MS
- NPI 1275887499
MS
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1497925465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2778",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "39520",
"telephone_number": "228-467-2555",
"fax_number": "228-467-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 BENIGNO LANE",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "39520",
"telephone_number": "228-467-2555",
"fax_number": "228-467-5480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESS",
"first_name": "STACI",
"middle_name": "RENEE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MS",
"license": "R875666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACI",
"last_name": "LUMPKIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bay St Louis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.